Provider Demographics
NPI:1659165835
Name:PHILPOTTS, MICHELLE LYNN (DODD MED SERT)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LYNN
Last Name:PHILPOTTS
Suffix:
Gender:
Credentials:DODD MED SERT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 BALDWIN AVE
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-7215
Mailing Address - Country:US
Mailing Address - Phone:440-406-7487
Mailing Address - Fax:
Practice Address - Street 1:737 BALDWIN AVE
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-7215
Practice Address - Country:US
Practice Address - Phone:440-406-7487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care