Provider Demographics
NPI:1396477279
Name:DULKOSKI, MEGAN PAIGE
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:PAIGE
Last Name:DULKOSKI
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 1:166 E WARREN ST APT A
Mailing Address - Street 2:
Mailing Address - City:CADIZ
Mailing Address - State:OH
Mailing Address - Zip Code:43907-1172
Mailing Address - Country:US
Mailing Address - Phone:740-433-5478
Mailing Address - Fax:
Practice Address - Street 1:166 E WARREN ST APT A
Practice Address - Street 2:
Practice Address - City:CADIZ
Practice Address - State:OH
Practice Address - Zip Code:43907-1172
Practice Address - Country:US
Practice Address - Phone:740-433-5478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide