Provider Demographics
NPI:1669008819
Name:DOBEM, ELIO
Entity Type:Individual
Prefix:
First Name:ELIO
Middle Name:
Last Name:DOBEM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 STATE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-4313
Mailing Address - Country:US
Mailing Address - Phone:508-992-9977
Mailing Address - Fax:
Practice Address - Street 1:323 STATE RD
Practice Address - Street 2:
Practice Address - City:NORTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-4313
Practice Address - Country:US
Practice Address - Phone:508-992-9977
Practice Address - Fax:508-992-9078
Is Sole Proprietor?:No
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI291237700000X
NH1111237700000X
MA444237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist