Provider Demographics
NPI:1083325765
Name:PARMER, CHERRELL A
Entity Type:Individual
Prefix:
First Name:CHERRELL
Middle Name:A
Last Name:PARMER
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:PO BOX 272
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45501-0272
Mailing Address - Country:US
Mailing Address - Phone:614-390-5071
Mailing Address - Fax:
Practice Address - Street 1:582 POSTWOODS DR
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-4819
Practice Address - Country:US
Practice Address - Phone:614-390-5071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-13
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty
No251E00000XAgenciesHome Health