Provider Demographics
NPI:1518549369
Name:DOOLITTLE, CHARLES MACKENZIE (DO)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:MACKENZIE
Last Name:DOOLITTLE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 STETSON STREET SUITE 2300
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45267-0525
Mailing Address - Country:US
Mailing Address - Phone:513-558-2968
Mailing Address - Fax:513-475-8033
Practice Address - Street 1:UC HEALTH NEUROLOGY
Practice Address - Street 2:3113 BELLEVUE AVENUE
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229
Practice Address - Country:US
Practice Address - Phone:513-475-8730
Practice Address - Fax:513-475-8033
Is Sole Proprietor?:No
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program