Provider Demographics
NPI:1083691711
Name:CASHEN, CONSTANCE P (DO)
Entity Type:Individual
Prefix:DR
First Name:CONSTANCE
Middle Name:P
Last Name:CASHEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12621 ECKEL JUNCTION RD STE 2800
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-1304
Mailing Address - Country:US
Mailing Address - Phone:419-724-4777
Mailing Address - Fax:419-724-4776
Practice Address - Street 1:12621 ECKEL JUNCTION RD STE 2800
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-1304
Practice Address - Country:US
Practice Address - Phone:419-724-4777
Practice Address - Fax:419-724-4776
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH34-00-4226C208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0682346Medicaid
E00734Medicare UPIN
OH0600092Medicare PIN