Dorcas Delores Shetler, CPM
Individual provider Active NPI Midwife · Fresno, OH
NPI 1831934876 · NPPES record last updated Jul 1, 2024
Key facts
- NPI
- 1831934876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- 0129000190 (VA)
- Practice address
- 33272 State Route 643
Fresno, OH 43824-9054 - Phone
- (434) 547-9229
- NPI assigned
- Jul 1, 2024
- 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 |
|---|---|---|---|
| 0129000190 | VA | MD | Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 0129000190 | VA | Yes |
Addresses
Primary practice location
33272 State Route 643
Fresno, OH 43824-9054
Mailing address
33272 State Route 643
Fresno, OH 43824-9054
Phone (434) 547-9229
Other providers in Fresno, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2024. 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.