Healthcare Provider Details

I. General information

NPI: 1386041663
Provider Name (Legal Business Name): HOWARD LEDBETTER C-H-H-H-A
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2014
Last Update Date: 12/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1123 MYRA ST
AKRON OH
44305
US

IV. Provider business mailing address

1123 MYRA ST
AKRON OH
44305
US

V. Phone/Fax

Practice location:
  • Phone: 330-810-3631
  • Fax:
Mailing address:
  • Phone: 330-810-3631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: