Provider Demographics
NPI:1972277499
Name:WEINREBER, MADISON CHRISTINA
Entity Type:Individual
Prefix:MISS
First Name:MADISON
Middle Name:CHRISTINA
Last Name:WEINREBER
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 1:3704 LOGAN WAY
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44505-1647
Mailing Address - Country:US
Mailing Address - Phone:330-506-6207
Mailing Address - Fax:
Practice Address - Street 1:3704 LOGAN WAY
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-1647
Practice Address - Country:US
Practice Address - Phone:330-506-6207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-07
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health