Individual
SHANE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1909 SARA LEE AVE, CRIDERSVILLE, OH 45806-2150
(419) 905-8341
Mailing address
1909 SARA LEE AVE, CRIDERSVILLE, OH 45806-2150
(419) 905-8341
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
Other
Enumeration date
02/14/2026
Last updated
02/14/2026
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