Provider Demographics
NPI:1013787183
Name:FERRON, MICHAEL LEROY
Entity Type:Individual
Prefix:MRS
First Name:MICHAEL
Middle Name:LEROY
Last Name:FERRON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5106 WOODMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ASHTABULA
Mailing Address - State:OH
Mailing Address - Zip Code:44004-6413
Mailing Address - Country:US
Mailing Address - Phone:440-812-8444
Mailing Address - Fax:
Practice Address - Street 1:5106 WOODMAN AVE
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-6413
Practice Address - Country:US
Practice Address - Phone:440-812-8444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health