Provider Demographics
NPI:1093409021
Name:WHEELER, STEPHANIE E
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:E
Last Name:WHEELER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 S MAIN ST # 139
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-1518
Mailing Address - Country:US
Mailing Address - Phone:330-618-7427
Mailing Address - Fax:
Practice Address - Street 1:810 S MAIN ST # 139
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-1518
Practice Address - Country:US
Practice Address - Phone:330-618-7427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care