Provider Demographics
NPI:1447893631
Name:WEST, DEBRA (OCPRS)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:OCPRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3062 STATE ROUTE 72 S
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45335-8557
Mailing Address - Country:US
Mailing Address - Phone:937-532-0661
Mailing Address - Fax:
Practice Address - Street 1:3062 STATE ROUTE 72 S
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:OH
Practice Address - Zip Code:45335-8557
Practice Address - Country:US
Practice Address - Phone:937-532-0661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist