Provider Demographics
NPI:1861541773
Name:ZARTMAN, REBECCA JEAN (NON-AGENCY PCA)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:JEAN
Last Name:ZARTMAN
Suffix:
Gender:F
Credentials:NON-AGENCY PCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 MERVIN ST
Mailing Address - Street 2:
Mailing Address - City:ANTWERP
Mailing Address - State:OH
Mailing Address - Zip Code:45813-9445
Mailing Address - Country:US
Mailing Address - Phone:419-258-7515
Mailing Address - Fax:
Practice Address - Street 1:108 MERVIN ST
Practice Address - Street 2:
Practice Address - City:ANTWERP
Practice Address - State:OH
Practice Address - Zip Code:45813-9445
Practice Address - Country:US
Practice Address - Phone:419-258-7515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2183195Medicare ID - Type UnspecifiedPROVIDER #