Healthcare Provider Details

I. General information

NPI: 1578778361
Provider Name (Legal Business Name): DOROTHY ANNE HUFNAGEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 HILLES AVE
BARNESVILLE OH
43713-1374
US

IV. Provider business mailing address

105 HILLES AVE
BARNESVILLE OH
43713-1374
US

V. Phone/Fax

Practice location:
  • Phone: 740-425-4263
  • Fax:
Mailing address:
  • Phone: 740-425-4263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: