Provider Demographics
NPI:1649306242
Name:OBER, DAWN MARIE
Entity type:Individual
Prefix:MS
First Name:DAWN
Middle Name:MARIE
Last Name:OBER
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 1:2261 BAILEY RD
Mailing Address - Street 2:
Mailing Address - City:PEEBLES
Mailing Address - State:OH
Mailing Address - Zip Code:45660-8965
Mailing Address - Country:US
Mailing Address - Phone:937-386-0810
Mailing Address - Fax:
Practice Address - Street 1:2261 BAILEY RD
Practice Address - Street 2:
Practice Address - City:PEEBLES
Practice Address - State:OH
Practice Address - Zip Code:45660-8965
Practice Address - Country:US
Practice Address - Phone:937-386-0810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor