Patricia Ann McConnell, INDEPENDENT PROVIDER
Individual provider Active NPI Home Infusion Agency · Philo, OH
NPI 1649300591 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1649300591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Infusion Agency 251F00000X
- License
- 2631450 (OH)
- Practice address
- 5270 Center Rd
Philo, OH 43771-9779 - Phone
- (740) 452-2568
- Fax
- (740) 452-2568
- NPI assigned
- Mar 7, 2007
- 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 |
|---|---|---|---|
| 2631450 | OH | MD | Home Infusion Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | 2631450 | OH | Yes |
Addresses
Primary practice location
5270 Center Rd
Philo, OH 43771-9779
Mailing address
5270 Center Rd
Philo, OH 43771-9779
Phone (740) 452-2568
Other providers in Philo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.