Provider Demographics
NPI:1730941147
Name:HUBER, DODI MARIE
Entity type:Individual
Prefix:
First Name:DODI
Middle Name:MARIE
Last Name:HUBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DODI
Other - Middle Name:MARIE
Other - Last Name:LOVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:812 COTTAGE AVE
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-3346
Mailing Address - Country:US
Mailing Address - Phone:937-570-6196
Mailing Address - Fax:
Practice Address - Street 1:812 COTTAGE AVE
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-3346
Practice Address - Country:US
Practice Address - Phone:937-570-6196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care