Healthcare Provider Details

I. General information

NPI: 1760600993
Provider Name (Legal Business Name): MRS. CHRISTINA MARIE BILLIPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 PENFIELD AVE
AKRON OH
44310-2912
US

IV. Provider business mailing address

42 PENFIELD AVE
AKRON OH
44310-2912
US

V. Phone/Fax

Practice location:
  • Phone: 330-283-1268
  • Fax:
Mailing address:
  • Phone: 330-283-1268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: