Brittany Ann Homan, PA
Physician Assistant in Coldwater, OH. Individual provider (NPI-1).
NPI number1982160065
StatusActive
Last updated in NPPESAug 1, 2019
Details
- NPI
- 1982160065
- Entity type
- Individual (NPI-1)
- Name
- Brittany Ann Homan
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2019
- Last updated
- Aug 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 50.005955RX | OH | Yes |
Other names
- Brittany Ann Sudhoff (Former Name)
Practice location
800 W Main StColdwater, OH 45828-1613
Phone 260-344-4035
Mailing address
6435 W Jefferson Blvd Pmb 109Fort Wayne, IN 46804-6203
Phone 260-344-4035 · Fax 260-969-9272
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