Provider Demographics
NPI:1497461172
Name:ENGLISH, CHARESE DONETT
Entity Type:Individual
Prefix:MS
First Name:CHARESE
Middle Name:DONETT
Last Name:ENGLISH
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 1:124 HODGE CT
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-8022
Mailing Address - Country:US
Mailing Address - Phone:216-272-3894
Mailing Address - Fax:
Practice Address - Street 1:124 HODGE CT
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-8022
Practice Address - Country:US
Practice Address - Phone:216-272-3894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty