Sisan J Shumaker
Individual provider Active NPI Personal Care Attendant · Bridgeport, OH
NPI 1881707503 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1881707503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 543855 National Rd
Stone House Place Apt 7
Bridgeport, OH 43912-1566 - Phone
- (740) 633-2624
- NPI assigned
- Aug 16, 2006
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | OH | Yes |
Addresses
Primary practice location
543855 National Rd
Stone House Place Apt 7
Bridgeport, OH 43912-1566
Mailing address
57961 Jarrods Song Rd
Belmont, OH 43718-9404
Phone (748) 484-1210
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All providers in Bridgeport, OH · Personal Care Attendant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.