Evelyn Jeannine Dafforn, NBC-HWC
Individual provider Active NPI Health & Wellness Coach · South Charleston, OH
NPI 1336728229 · NPPES record last updated Apr 7, 2021
Key facts
- NPI
- 1336728229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- License
- A-3369207 (OH)
- Practice address
- 3635 S Urbana Lisbon Rd
South Charleston, OH 45368-8762 - Phone
- (937) 207-6050
- NPI assigned
- Apr 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-3369207 | OH | MD | Health & Wellness Coach |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | A-3369207 | OH | Yes |
Addresses
Primary practice location
3635 S Urbana Lisbon Rd
South Charleston, OH 45368-8762
Mailing address
3635 S Urbana Lisbon Rd
South Charleston, OH 45368-8762
Phone (937) 207-6050
Other providers in South Charleston, OH
- Andrea Cessna
- Julie Clark
- Clem Counseling
- Bridgett Allyn Coffey
- Leanne Marie Coil
- Jessica Leanne Drayer
- Teresa Sue Edwards
- Tracy Eubanks
- Lora Lynn Fielding
- Holly Mae Flax
All providers in South Charleston, OH · Health & Wellness Coach in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.