Provider Demographics
NPI:1497443410
Name:ROSSWASHINGTON, DOROTHEA L
Entity Type:Individual
Prefix:
First Name:DOROTHEA
Middle Name:L
Last Name:ROSSWASHINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4397 STONELEDGE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-2572
Mailing Address - Country:US
Mailing Address - Phone:216-409-2662
Mailing Address - Fax:
Practice Address - Street 1:4397 STONELEDGE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44143-2572
Practice Address - Country:US
Practice Address - Phone:216-409-2662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)