Provider Demographics
NPI:1215537956
Name:BISHOP, SHAWNTE M
Entity Type:Individual
Prefix:
First Name:SHAWNTE
Middle Name:M
Last Name:BISHOP
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 1:885 ROCKY BROOK DR APT B
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-8824
Mailing Address - Country:US
Mailing Address - Phone:234-334-8685
Mailing Address - Fax:
Practice Address - Street 1:885 ROCKY BROOK DR APT B
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-8824
Practice Address - Country:US
Practice Address - Phone:234-334-8685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No253Z00000XAgenciesIn Home Supportive Care