Provider Demographics
NPI:1316535149
Name:ROX, NORMAN LEE
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:LEE
Last Name:ROX
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 E 242ND ST
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44123-1445
Mailing Address - Country:US
Mailing Address - Phone:216-647-1525
Mailing Address - Fax:
Practice Address - Street 1:241 E 242ND ST
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44123-1445
Practice Address - Country:US
Practice Address - Phone:216-647-1525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker