Provider Demographics
NPI:1093577264
Name:WARD, SHAWN CHRISTOPHER
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:CHRISTOPHER
Last Name:WARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4304 WEBSTER AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-3640
Mailing Address - Country:US
Mailing Address - Phone:513-693-3850
Mailing Address - Fax:
Practice Address - Street 1:4304 WEBSTER AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-3640
Practice Address - Country:US
Practice Address - Phone:513-693-3850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker