Healthcare Provider Details

I. General information

NPI: 1144148586
Provider Name (Legal Business Name): MARTHA IRENE DENNING-CORLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5829 MARKEY RD
DAYTON OH
45415-3039
US

IV. Provider business mailing address

5829 MARKEY RD
DAYTON OH
45415-3039
US

V. Phone/Fax

Practice location:
  • Phone: 937-760-9573
  • Fax:
Mailing address:
  • Phone: 937-760-9573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number5055111
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: