Provider Demographics
NPI:1609282201
Name:QUIGGLE, BELINDA
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:QUIGGLE
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 1:33 W FRONT ST
Mailing Address - Street 2:P.O. BOX 191
Mailing Address - City:MILAN
Mailing Address - State:OH
Mailing Address - Zip Code:44846-9349
Mailing Address - Country:US
Mailing Address - Phone:440-213-6434
Mailing Address - Fax:
Practice Address - Street 1:33 W FRONT ST
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:OH
Practice Address - Zip Code:44846-9349
Practice Address - Country:US
Practice Address - Phone:440-213-6434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.131278-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse