Provider Demographics
NPI:1699560284
Name:WHEELER, ROBERT LLOYD SR
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:LLOYD
Last Name:WHEELER
Suffix:SR
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:664 W CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45403-3312
Mailing Address - Country:US
Mailing Address - Phone:937-231-1125
Mailing Address - Fax:
Practice Address - Street 1:664 W CIRCLE DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45403-3312
Practice Address - Country:US
Practice Address - Phone:937-231-1125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant