MEDICARE: DOROTHEA L ROSSWASHINGTON

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1497443410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOROTHEA L ROSSWASHINGTON

Provider Business Mailing Address
First Line	:	4397 STONELEDGE DR
Second Line	:
City	:	RICHMOND HEIGHTS
State	:	OH
Zip	:	44143-2572
Country	:	US
Telephone Number	:	216-409-2662
Fax Number	:

Provider Business Practice Location Address
First Line	:	4397 STONELEDGE DR
Second Line	:
City	:	RICHMOND HEIGHTS
State	:	OH
Zip	:	44143-2572
Country	:	US
Telephone Number	:	216-409-2662
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2023
Last Update Date	:	04/27/2023

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Directions to “ DOROTHEA L ROSSWASHINGTON ” Practice Location

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