Provider Demographics
NPI:1871221119
Name:DOTEY, MONIQUE
Entity type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:
Last Name:DOTEY
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 1:60379 BENNETT RD
Mailing Address - Street 2:
Mailing Address - City:AMITE
Mailing Address - State:LA
Mailing Address - Zip Code:70422-4349
Mailing Address - Country:US
Mailing Address - Phone:985-703-2274
Mailing Address - Fax:
Practice Address - Street 1:60379 BENNETT RD
Practice Address - Street 2:
Practice Address - City:AMITE
Practice Address - State:LA
Practice Address - Zip Code:70422-4349
Practice Address - Country:US
Practice Address - Phone:985-703-2274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-14
Last Update Date:2022-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty