Individual
SHERYL F MODLIN
Active
Individual
SHERYL F MODLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-064537
OH
207L00000X
Anesthesiology Physician
35.064537
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221067
UNISON
OH
01
—
000000516049
ANTHEM
OH
05
—
0017013500001
—
PA
01
—
0583328
BCMH
OH
05
—
0926789
—
OH
01
—
1902824527
INDIANA MEDICAID
IN
01
—
1902824527
MICHIGAN MEDICAID
MI
01
—
363852
WELLCARE MEDICAID
OH
01
—
4337359
AETNA
OH
01
—
727584
BUCKEYE MEDICAID
OH
Enumeration date
07/18/2006
Last updated
10/01/2020
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