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Individual

MS. SHEILA M PORTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
HAS

Contact information

Practice address
423 W MAIN ST STE 1, TIPP CITY, OH 45371-1820
(937) 834-4225
Mailing address
2685 DERR RD, SPRINGFIELD, OH 45503-2445
(937) 408-4449

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3242
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1598154916
FEDERAL RETIREMENT PROGRAM BLUE CROSS /BLUE SHIELD
OH
Enumeration date
01/22/2015
Last updated
03/14/2022
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