Individual
CRYSTAL SHIFFERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
481 WOODRIDGE DR, MANSFIELD, OH 44906-2106
(567) 274-1738
Mailing address
481 WOODRIDGE DR, MANSFIELD, OH 44906-2106
(567) 274-1738
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168318
INDIVIDUAL PROVIDER
OH
Enumeration date
07/26/2006
Last updated
12/19/2024
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