MEDICARE: QUENTIN RUBEN CHARLES GARY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker	UU232681	OH

General Provider Information

NPI Number	:	1801754650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUENTIN RUBEN CHARLES GARY

Provider Business Mailing Address
First Line	:	3233 PAYDAY LN
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-7427
Country	:	US
Telephone Number	:	937-580-1025
Fax Number	:

Provider Business Practice Location Address
First Line	:	3233 PAYDAY LN
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-7427
Country	:	US
Telephone Number	:	937-580-1025
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ QUENTIN RUBEN CHARLES GARY ” Practice Location

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