Provider Demographics
NPI:1487446811
Name:DUNN, RONALD ALVAH JR
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:ALVAH
Last Name:DUNN
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:784 ASPEN DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON COURT HOUSE
Mailing Address - State:OH
Mailing Address - Zip Code:43160-1290
Mailing Address - Country:US
Mailing Address - Phone:740-505-8702
Mailing Address - Fax:
Practice Address - Street 1:784 ASPEN DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON COURT HOUSE
Practice Address - State:OH
Practice Address - Zip Code:43160-1290
Practice Address - Country:US
Practice Address - Phone:740-505-8702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant