Provider Demographics
NPI:1801542717
Name:SIMPSON, WAYNE PAUL
Entity type:Individual
Prefix:
First Name:WAYNE
Middle Name:PAUL
Last Name:SIMPSON
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 1:2025 ANTIOCH RD
Mailing Address - Street 2:
Mailing Address - City:HAMERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45130-9604
Mailing Address - Country:US
Mailing Address - Phone:513-846-4705
Mailing Address - Fax:
Practice Address - Street 1:2025 ANTIOCH RD
Practice Address - Street 2:
Practice Address - City:HAMERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:45130-9604
Practice Address - Country:US
Practice Address - Phone:513-846-4705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care