Provider Demographics
NPI:1689964975
Name:SCHOLL, DAWN M (LPN)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:M
Last Name:SCHOLL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 HALL ST
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-1413
Mailing Address - Country:US
Mailing Address - Phone:419-618-6534
Mailing Address - Fax:
Practice Address - Street 1:155 HALL ST
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-1413
Practice Address - Country:US
Practice Address - Phone:419-618-6534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.104539164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse