Provider Demographics
NPI:1093320467
Name:WEBB, PATRICIA S
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:S
Last Name:WEBB
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 1:11652 COUNTY ROAD K
Mailing Address - Street 2:
Mailing Address - City:NAPOLEON
Mailing Address - State:OH
Mailing Address - Zip Code:43545-9536
Mailing Address - Country:US
Mailing Address - Phone:419-822-1186
Mailing Address - Fax:
Practice Address - Street 1:11652 COUNTY ROAD K
Practice Address - Street 2:
Practice Address - City:NAPOLEON
Practice Address - State:OH
Practice Address - Zip Code:43545-9536
Practice Address - Country:US
Practice Address - Phone:419-822-1186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-12
Last Update Date:2020-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3500948OtherDODD CONTRACT NUMBER