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NPI Code Detail

MEDICARE: CHELSEA SHANE

MEDICARE: CHELSEA SHANE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1548118730
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA SHANE
Provider Business Mailing Address
First Line : 2540 BILLINGSLEY RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-1990
Country : US
Telephone Number : 614-602-6476
Fax Number : 614-953-2802
Provider Business Practice Location Address
First Line : 2540 BILLINGSLEY RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-1990
Country : US
Telephone Number : 614-602-6476
Fax Number : 614-953-2802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2026
Last Update Date : 03/21/2026

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Directions to “ CHELSEA SHANE ” Practice Location

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