Provider Demographics
NPI:1295527695
Name:WILLOUGHBY, BELINDA
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:WILLOUGHBY
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 1:1860 CAMPBELL DR
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:OH
Mailing Address - Zip Code:45101-9641
Mailing Address - Country:US
Mailing Address - Phone:937-618-0906
Mailing Address - Fax:
Practice Address - Street 1:1860 CAMPBELL DR
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:OH
Practice Address - Zip Code:45101-9641
Practice Address - Country:US
Practice Address - Phone:937-618-0906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker