Healthcare Provider Details

I. General information

NPI: 1982474920
Provider Name (Legal Business Name): MRS. DEANNA M GREIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2024
Last Update Date: 01/02/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

657 EAST STATE STREET FLOOR 1#8
SALEM OH
44460
US

IV. Provider business mailing address

31462 HAESSLY RD
HANOVERTON OH
44423-9638
US

V. Phone/Fax

Practice location:
  • Phone: 330-502-0712
  • Fax:
Mailing address:
  • Phone: 330-720-5099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: