Provider Demographics
NPI:1245835792
Name:SELLERS, DEBBIE C
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:C
Last Name:SELLERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:728 KENWICK RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-2512
Mailing Address - Country:US
Mailing Address - Phone:614-806-7128
Mailing Address - Fax:
Practice Address - Street 1:1774 E MAIN ST APT 315
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2295
Practice Address - Country:US
Practice Address - Phone:614-806-7128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty