Provider Demographics
NPI:1295194868
Name:HUGGETT, ANNE MARIE
Entity Type:Individual
Prefix:MISS
First Name:ANNE
Middle Name:MARIE
Last Name:HUGGETT
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 1:220 21ST ST NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44709-3910
Mailing Address - Country:US
Mailing Address - Phone:330-575-5727
Mailing Address - Fax:
Practice Address - Street 1:220 21ST ST NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44709-3910
Practice Address - Country:US
Practice Address - Phone:330-575-5727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHTE315288390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program