Billie Maurice
Individual provider Active NPI Specialist · Saint Paris, OH
NPI 1245600329 · NPPES record last updated Oct 1, 2015
Key facts
- NPI
- 1245600329
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- OT 6147 (OH)
- Practice address
- 4655 Kiser Lake Rd
Saint Paris, OH 43072-9338 - Phone
- (937) 726-5823
- NPI assigned
- Oct 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 6147 | OH | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OT 6147 | OH | Yes |
Addresses
Primary practice location
4655 Kiser Lake Rd
Saint Paris, OH 43072-9338
Mailing address
4655 Kiser Lake Rd
Saint Paris, OH 43072-9338
Phone (937) 726-5823
Other providers in Saint Paris, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.