Healthcare Provider Details

I. General information

NPI: 1447177555
Provider Name (Legal Business Name): CHRIS SCRAGG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6148 ROSEBURY DR
HUBER HEIGHTS OH
45424-3841
US

IV. Provider business mailing address

6148 ROSEBURY DR
HUBER HEIGHTS OH
45424-3841
US

V. Phone/Fax

Practice location:
  • Phone: 937-838-4544
  • Fax: 937-838-4544
Mailing address:
  • Phone: 937-838-4544
  • Fax: 937-838-4544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: