Provider Demographics
NPI:1043021389
Name:BELCHER, MARY SUSAN
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:SUSAN
Last Name:BELCHER
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 1:47 GABLE CURTIS RD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-8821
Mailing Address - Country:US
Mailing Address - Phone:740-357-2720
Mailing Address - Fax:
Practice Address - Street 1:47 GABLE CURTIS RD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-8821
Practice Address - Country:US
Practice Address - Phone:740-357-2720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide