Healthcare Provider Details

I. General information

NPI: 1497513451
Provider Name (Legal Business Name): MRS. CHRISTY L HUFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2024
Last Update Date: 03/13/2024
Certification Date: 03/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

669 S MAIN ST
WEST MANSFIELD OH
43358-9510
US

IV. Provider business mailing address

669 S MAIN ST
WEST MANSFIELD OH
43358-9510
US

V. Phone/Fax

Practice location:
  • Phone: 937-210-8951
  • Fax:
Mailing address:
  • Phone: 937-210-8951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: