Provider Demographics
NPI:1568529428
Name:DOLL, MARGARET JOY (NURSESAIDE)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:JOY
Last Name:DOLL
Suffix:
Gender:F
Credentials:NURSESAIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:691 W MAIN ST APT 2
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:OH
Mailing Address - Zip Code:44041-1214
Mailing Address - Country:US
Mailing Address - Phone:440-466-4094
Mailing Address - Fax:
Practice Address - Street 1:691 W MAIN ST APT 2
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:OH
Practice Address - Zip Code:44041-1214
Practice Address - Country:US
Practice Address - Phone:440-466-4094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2519500Medicare UPIN