Provider Demographics
NPI:1366059032
Name:MCGILL, BARBARA M
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:M
Last Name:MCGILL
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 1:2201 W 93RD ST APT 209
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-3784
Mailing Address - Country:US
Mailing Address - Phone:216-703-8830
Mailing Address - Fax:
Practice Address - Street 1:2201 W 93RD ST APT 209
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44102-3784
Practice Address - Country:US
Practice Address - Phone:216-703-8830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty