Provider Demographics
NPI:1255598280
Name:COX, DEBRA PAULETTE
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:PAULETTE
Last Name:COX
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 1:3945 S MAHONING AVE
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-8865
Mailing Address - Country:US
Mailing Address - Phone:330-821-2442
Mailing Address - Fax:330-821-2444
Practice Address - Street 1:3945 S MAHONING AVE
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-8865
Practice Address - Country:US
Practice Address - Phone:330-821-2442
Practice Address - Fax:330-821-2444
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2806039Medicaid