Provider Demographics
NPI:1154937340
Name:STRBAC, MICHELLE (HPC/RESPITE/TRANSPOR)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:STRBAC
Suffix:
Gender:F
Credentials:HPC/RESPITE/TRANSPOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9127 TAHOMA ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-6025
Mailing Address - Country:US
Mailing Address - Phone:614-230-8407
Mailing Address - Fax:
Practice Address - Street 1:9127 TAHOMA ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-6025
Practice Address - Country:US
Practice Address - Phone:614-230-8407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker