Provider Demographics
NPI:1174316525
Name:DOLO, NEOMI
Entity type:Individual
Prefix:
First Name:NEOMI
Middle Name:
Last Name:DOLO
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 1:6779 GEMSTAR RD
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-5006
Mailing Address - Country:US
Mailing Address - Phone:614-965-1318
Mailing Address - Fax:614-965-1318
Practice Address - Street 1:6779 GEMSTAR RD
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-5006
Practice Address - Country:US
Practice Address - Phone:614-965-1318
Practice Address - Fax:614-965-1318
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374U00000X
323251120914376K00000X
NY323251120914376K00000X
3232511209414376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide