Provider Demographics
NPI:1811649049
Name:RANSBOTTOM, ALI
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:
Last Name:RANSBOTTOM
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 1:207 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:OH
Mailing Address - Zip Code:45619-1109
Mailing Address - Country:US
Mailing Address - Phone:304-962-3265
Mailing Address - Fax:
Practice Address - Street 1:207 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:OH
Practice Address - Zip Code:45619-1109
Practice Address - Country:US
Practice Address - Phone:304-962-3265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant