Susan T McCollister
Individual provider Active NPI Homemaker · Blanchester, OH
NPI 1740897941 · NPPES record last updated Jan 31, 2025
Key facts
- NPI
- 1740897941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 1520 S State Route 133
Blanchester, OH 45107-8483 - Phone
- (513) 310-2075
- NPI assigned
- Sep 30, 2020
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
1520 S State Route 133
Blanchester, OH 45107-8483
Mailing address
1520 S State Route 133
Blanchester, OH 45107-8483
Phone (513) 310-2075
Other providers in Blanchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2025. 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.