Provider Demographics
NPI:1972143873
Name:DGN VENTURES
Entity Type:Organization
Organization Name:DGN VENTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN DEN EEDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-504-5229
Mailing Address - Street 1:2189 DEER RUN DR
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-7070
Mailing Address - Country:US
Mailing Address - Phone:717-504-5229
Mailing Address - Fax:
Practice Address - Street 1:166 S MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-2500
Practice Address - Country:US
Practice Address - Phone:717-504-5229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-09
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty