Healthcare Provider Details

I. General information

NPI: 1386417699
Provider Name (Legal Business Name): MR. TODD MICHAEL SAYLER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2023
Last Update Date: 10/30/2023
Certification Date: 10/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 WEXFORD
BOWLING GREEN OH
43402-3555
US

IV. Provider business mailing address

1700 WEXFORD
BOWLING GREEN OH
43402-3555
US

V. Phone/Fax

Practice location:
  • Phone: 419-705-4296
  • Fax:
Mailing address:
  • Phone: 419-705-4296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: