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Contact Information

PHYLLIS J SMITH
15162 MOHLER RD
LOGAN, OH43138
 Phone: 740-767-9874
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for PHYLLIS J SMITH · (Female)

NPI # 1164560389
Status Active
Credentials
Entity Individual
Enumeration date 02/01/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OH Other 2294306 WAIVER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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