Sandra Kay Stover Von Dohlen
Technician, Other in Durham, NC. Individual provider (NPI-1).
NPI number1629705355
StatusActive
Last updated in NPPESOct 12, 2022
Details
- NPI
- 1629705355
- Entity type
- Individual (NPI-1)
- Name
- Sandra Kay Stover Von Dohlen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2022
- Certification date
- Oct 12, 2022
- Last updated
- Oct 12, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
4819 Emperor Blvd Ste 400Durham, NC 27703-5420
Phone 855-832-6727 · Fax 772-675-9100
Mailing address
4575 Se Dixie HwyStuart, FL 34997-6826
Phone 855-832-6727 · Fax 772-675-9100
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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