Healthcare Provider Details

I. General information

NPI: 1861318750
Provider Name (Legal Business Name): GERLE WEBB
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 LONGFELLOW ST
ELYRIA OH
44035-3730
US

IV. Provider business mailing address

313 LONGFELLOW ST
ELYRIA OH
44035-3730
US

V. Phone/Fax

Practice location:
  • Phone: 614-653-9119
  • Fax:
Mailing address:
  • Phone: 614-653-9119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License NumberRE913946
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: