Provider Demographics
NPI:1437282753
Name:MARCUM, ROBIN LEE (HOME HEALTH AIDE)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:LEE
Last Name:MARCUM
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2711 S MAIN ST LOT 8
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-7450
Mailing Address - Country:US
Mailing Address - Phone:513-578-7537
Mailing Address - Fax:513-578-7537
Practice Address - Street 1:2711 S MAIN ST LOT 8
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-7450
Practice Address - Country:US
Practice Address - Phone:513-578-7537
Practice Address - Fax:513-578-7537
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2015-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2320616374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2320616OtherPIN