Provider Demographics
NPI:1841887783
Name:WHEELER, DEBORAH MICHELLE
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:MICHELLE
Last Name:WHEELER
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 1:2355 SCHENK RD
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:OH
Mailing Address - Zip Code:45365-8127
Mailing Address - Country:US
Mailing Address - Phone:937-492-0213
Mailing Address - Fax:937-492-0213
Practice Address - Street 1:2355 SCHENK RD
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:OH
Practice Address - Zip Code:45365-8127
Practice Address - Country:US
Practice Address - Phone:937-726-1144
Practice Address - Fax:937-492-0213
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-27
Last Update Date:2020-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide