Provider Demographics
NPI:1235987751
Name:FRITSCHER, DAWN
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:FRITSCHER
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 1:8897 BEECH DR
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45308-9624
Mailing Address - Country:US
Mailing Address - Phone:937-564-6638
Mailing Address - Fax:
Practice Address - Street 1:8897 BEECH DR
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:OH
Practice Address - Zip Code:45308-9624
Practice Address - Country:US
Practice Address - Phone:937-564-6638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care