Provider Demographics
NPI:1568262889
Name:SULKES, TOBY
Entity type:Individual
Prefix:
First Name:TOBY
Middle Name:
Last Name:SULKES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:PORT CLINTON
Mailing Address - State:OH
Mailing Address - Zip Code:43452-1204
Mailing Address - Country:US
Mailing Address - Phone:419-607-7835
Mailing Address - Fax:
Practice Address - Street 1:806 E 2ND ST
Practice Address - Street 2:
Practice Address - City:PORT CLINTON
Practice Address - State:OH
Practice Address - Zip Code:43452-1204
Practice Address - Country:US
Practice Address - Phone:419-607-7835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide