MEDICARE: DONESHIA FIZER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487177697
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DONESHIA FIZER

Provider Business Mailing Address
First Line	:	4110 N LOCKWOOD AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43612-1745
Country	:	US
Telephone Number	:	419-324-5595
Fax Number	:

Provider Business Practice Location Address
First Line	:	4110 N LOCKWOOD AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43612-1745
Country	:	US
Telephone Number	:	419-324-5595
Fax Number	:

Authorized Official
Title or Position	:	STNA
Name	:	DONESHIA M FIZER
Credential	:
Telephone Number	:	419-324-5595

Provider Enumeration Date	:	07/19/2017
Last Update Date	:	07/19/2017

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Directions to “DONESHIA FIZER ” Practice Location

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