Healthcare Provider Details

I. General information

NPI: 1982926200
Provider Name (Legal Business Name): HEATHER L MCALEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2010
Last Update Date: 03/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

953 S SOUTH ST
WILMINGTON OH
45177-2921
US

IV. Provider business mailing address

953 S SOUTH ST
WILMINGTON OH
45177-2921
US

V. Phone/Fax

Practice location:
  • Phone: 937-383-4441
  • Fax: 937-383-2348
Mailing address:
  • Phone: 937-383-4441
  • Fax: 937-383-2348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: