Healthcare Provider Details

I. General information

NPI: 1679690671
Provider Name (Legal Business Name): DONNA EUGENIA SAWYER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 10/06/2022
Certification Date: 10/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4196 HOLSTEIN DR
OBETZ OH
43207-3772
US

IV. Provider business mailing address

4196 HOLSTEIN DR
OBETZ OH
43207-3772
US

V. Phone/Fax

Practice location:
  • Phone: 614-332-8057
  • Fax:
Mailing address:
  • Phone: 614-332-8057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number320023830993
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: