Provider Demographics
NPI:1679058226
Name:SINES, DAWN DEANN (HCA)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:DEANN
Last Name:SINES
Suffix:
Gender:F
Credentials:HCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10336 SLOUGH RD
Mailing Address - Street 2:
Mailing Address - City:DEFIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:43512-9760
Mailing Address - Country:US
Mailing Address - Phone:419-438-8912
Mailing Address - Fax:
Practice Address - Street 1:10336 SLOUGH RD
Practice Address - Street 2:
Practice Address - City:DEFIANCE
Practice Address - State:OH
Practice Address - Zip Code:43512-9760
Practice Address - Country:US
Practice Address - Phone:419-438-8912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-29
Last Update Date:2018-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0304075374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide