Provider Demographics
NPI:1205524022
Name:WEBSTER, CURTIS EVAN
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:EVAN
Last Name:WEBSTER
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 1:1667 RED MAPLE CT
Mailing Address - Street 2:
Mailing Address - City:STREETSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:44241-6342
Mailing Address - Country:US
Mailing Address - Phone:216-534-2584
Mailing Address - Fax:
Practice Address - Street 1:1667 RED MAPLE CT
Practice Address - Street 2:
Practice Address - City:STREETSBORO
Practice Address - State:OH
Practice Address - Zip Code:44241-6342
Practice Address - Country:US
Practice Address - Phone:216-534-2584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No347C00000XTransportation ServicesPrivate Vehicle