Provider Demographics
NPI:1558963116
Name:HEIBY, RACHEL M
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:M
Last Name:HEIBY
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 1:633 CRON ST
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:OH
Mailing Address - Zip Code:45822-1417
Mailing Address - Country:US
Mailing Address - Phone:419-953-3265
Mailing Address - Fax:
Practice Address - Street 1:68 E STAR RD
Practice Address - Street 2:
Practice Address - City:ROSSBURG
Practice Address - State:OH
Practice Address - Zip Code:45362-9706
Practice Address - Country:US
Practice Address - Phone:419-336-5301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide