Provider Demographics
NPI:1437751435
Name:UMPHRESS, MEGAN K
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:K
Last Name:UMPHRESS
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 122
Mailing Address - Street 2:
Mailing Address - City:MOUNT BLANCHARD
Mailing Address - State:OH
Mailing Address - Zip Code:45867-0122
Mailing Address - Country:US
Mailing Address - Phone:419-788-4980
Mailing Address - Fax:
Practice Address - Street 1:109 EAST CLAY STREET
Practice Address - Street 2:
Practice Address - City:MOUNT BLANCHARD
Practice Address - State:OH
Practice Address - Zip Code:45867
Practice Address - Country:US
Practice Address - Phone:419-788-4980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant