Provider Demographics
NPI:1134958705
Name:CATTELL, DORIS JEAN
Entity type:Individual
Prefix:
First Name:DORIS
Middle Name:JEAN
Last Name:CATTELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1427 COUNTY ROAD 27
Mailing Address - Street 2:
Mailing Address - City:PEDRO
Mailing Address - State:OH
Mailing Address - Zip Code:45659-8913
Mailing Address - Country:US
Mailing Address - Phone:740-533-7971
Mailing Address - Fax:
Practice Address - Street 1:1427 COUNTY ROAD 27
Practice Address - Street 2:
Practice Address - City:PEDRO
Practice Address - State:OH
Practice Address - Zip Code:45659-8913
Practice Address - Country:US
Practice Address - Phone:740-533-7971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide