Provider Demographics
NPI:1952837742
Name:D.O.T-NOW
Entity Type:Organization
Organization Name:D.O.T-NOW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:541-390-3858
Mailing Address - Street 1:663 BUTTONWOOD RD
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:IL
Mailing Address - Zip Code:62899-2237
Mailing Address - Country:US
Mailing Address - Phone:541-390-3858
Mailing Address - Fax:
Practice Address - Street 1:663 BUTTONWOOD RD
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:IL
Practice Address - Zip Code:62899-2237
Practice Address - Country:US
Practice Address - Phone:541-390-3858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service