Provider Demographics
NPI:1992920060
Name:REED, NORMAN EDWARD
Entity type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:EDWARD
Last Name:REED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 BRIARBEND BLVD
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-8923
Mailing Address - Country:US
Mailing Address - Phone:614-844-6755
Mailing Address - Fax:614-844-6755
Practice Address - Street 1:401 BRIARBEND BLVD
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-8923
Practice Address - Country:US
Practice Address - Phone:614-844-6755
Practice Address - Fax:614-844-6755
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2096584Medicaid