Provider Demographics
NPI:1265624845
Name:SPEARS, PATRICIA G (DEM)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:G
Last Name:SPEARS
Suffix:
Gender:F
Credentials:DEM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 US HIGHWAY 224 W
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:OH
Mailing Address - Zip Code:44837-9402
Mailing Address - Country:US
Mailing Address - Phone:419-752-5345
Mailing Address - Fax:
Practice Address - Street 1:915 US HIGHWAY 224 W
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:OH
Practice Address - Zip Code:44837-9402
Practice Address - Country:US
Practice Address - Phone:419-752-5345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay