Healthcare Provider Details

I. General information

NPI: 1568262574
Provider Name (Legal Business Name): ERICA C HUTSON M.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 03/19/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 S PEARL ST # 2
KENT OH
44240-3417
US

IV. Provider business mailing address

5330 PARK VISTA CT
STOW OH
44224-5500
US

V. Phone/Fax

Practice location:
  • Phone: 330-861-9561
  • Fax:
Mailing address:
  • Phone: 330-861-9561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License NumberTM176705
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: