Provider Demographics
NPI:1740493360
Name:SESLER, DORIS ANN
Entity type:Individual
Prefix:MS
First Name:DORIS
Middle Name:ANN
Last Name:SESLER
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 1:159 CROMWELL AVE.
Mailing Address - Street 2:NORMANDY VILLAGE
Mailing Address - City:GENEVA
Mailing Address - State:OH
Mailing Address - Zip Code:44041-1238
Mailing Address - Country:US
Mailing Address - Phone:440-466-6069
Mailing Address - Fax:
Practice Address - Street 1:1911 THISTLEWOOD CT
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-9703
Practice Address - Country:US
Practice Address - Phone:440-964-5547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2705095374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2705095OtherAIDE