Provider Demographics
NPI:1982456182
Name:DITMARS, SYLVIA A
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:A
Last Name:DITMARS
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 1:1100 NOTTINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45331-2961
Mailing Address - Country:US
Mailing Address - Phone:937-459-5541
Mailing Address - Fax:
Practice Address - Street 1:1100 NOTTINGHAM DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-2961
Practice Address - Country:US
Practice Address - Phone:937-459-5541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker