Provider Demographics
NPI:1427749282
Name:KREINER, DEBBIE SUE
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:SUE
Last Name:KREINER
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 1:102 CARTER ST
Mailing Address - Street 2:
Mailing Address - City:CRESTON
Mailing Address - State:OH
Mailing Address - Zip Code:44217-9602
Mailing Address - Country:US
Mailing Address - Phone:330-201-3279
Mailing Address - Fax:
Practice Address - Street 1:102 CARTER ST
Practice Address - Street 2:
Practice Address - City:CRESTON
Practice Address - State:OH
Practice Address - Zip Code:44217-9602
Practice Address - Country:US
Practice Address - Phone:330-201-3279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRS958974347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle