Individual
SHASTA SADLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
688 GLENDORA AVE, AKRON, OH 44320-1961
(330) 962-3518
Mailing address
688 GLENDORA AVE, AKRON, OH 44320-1961
(330) 962-3518
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
RU483376
OH
171WH0202X
Home Modifications Contractor
RU483376
OH
172A00000X
Driver
RU483376
OH
343900000X
Non-emergency Medical Transport (VAN)
Primary
RU483376
OH
347C00000X
Private Vehicle
RU483376
OH
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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