Ellen Detrick
NPI 1114625282 · on the registry since 2023 · sole proprietor
Practice
- Address
- 2450 Allentown Rd
Lima, OH 45805 - Phone
- (419) 371-2223
- Fax
- (419) 227-9800
- Organisation at this address
- Wal-Mart Stores East Lp
Wal-Mart Stores East, LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Optician
156FX1800X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio