Healthcare Provider Details

I. General information

NPI: 1659139210
Provider Name (Legal Business Name): PAIGE N HAEHN SWA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAIGE N MILLER

II. Dates (important events)

Enumeration Date: 03/08/2024
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

658 W MARKET ST STE 101
LIMA OH
45801-5604
US

IV. Provider business mailing address

10100 ELIDA RD
DELPHOS OH
45833-9058
US

V. Phone/Fax

Practice location:
  • Phone: 419-222-1527
  • Fax: 419-222-3586
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2410755
License Number StateOH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: