Provider Demographics
NPI:1922853803
Name:DUMOLT, ASHLEY MORGAN
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MORGAN
Last Name:DUMOLT
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 1:1476 IVANHOE CT
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-8664
Mailing Address - Country:US
Mailing Address - Phone:740-973-8634
Mailing Address - Fax:
Practice Address - Street 1:1476 IVANHOE CT
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-8664
Practice Address - Country:US
Practice Address - Phone:740-973-8634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health