Provider Demographics
NPI:1649971664
Name:SPIRES, ALISON M
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:M
Last Name:SPIRES
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 1:10130 EBENEZER RD
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:OH
Mailing Address - Zip Code:45101-9780
Mailing Address - Country:US
Mailing Address - Phone:937-402-9552
Mailing Address - Fax:
Practice Address - Street 1:10130 EBENEZER RD
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:OH
Practice Address - Zip Code:45101-9780
Practice Address - Country:US
Practice Address - Phone:937-402-9552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant