Healthcare Provider Details

I. General information

NPI: 1952217416
Provider Name (Legal Business Name): NOAH C LABELLE PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 BELLEFONTAINE AVE STE 230
LIMA OH
45804-2882
US

IV. Provider business mailing address

19881 TOWNSHIP ROAD 133
RUSHSYLVANIA OH
43347-9606
US

V. Phone/Fax

Practice location:
  • Phone: 419-998-8255
  • Fax:
Mailing address:
  • Phone: 937-407-4799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: