Provider Demographics
NPI:1447072152
Name:HELTON, WILLIAM JAMES
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:JAMES
Last Name:HELTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MENDOTA ST
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44903-2420
Mailing Address - Country:US
Mailing Address - Phone:419-566-8665
Mailing Address - Fax:
Practice Address - Street 1:101 MENDOTA ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44903-2420
Practice Address - Country:US
Practice Address - Phone:417-566-8665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health