Provider Demographics
NPI:1568874295
Name:MCGARRY, CHRISTINE
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:MCGARRY
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 155
Mailing Address - Street 2:
Mailing Address - City:GLENCOE
Mailing Address - State:OH
Mailing Address - Zip Code:43928-0155
Mailing Address - Country:US
Mailing Address - Phone:740-676-2721
Mailing Address - Fax:
Practice Address - Street 1:50140 1ST STREET
Practice Address - Street 2:155
Practice Address - City:GLENCOE
Practice Address - State:OH
Practice Address - Zip Code:43928-0155
Practice Address - Country:US
Practice Address - Phone:740-676-2721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-29
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2247572Medicaid