Provider Demographics
NPI:1497468854
Name:SWIGER, TINA ANNETTE
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:ANNETTE
Last Name:SWIGER
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:PO BOX 292
Mailing Address - Street 2:
Mailing Address - City:JACKSON CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:45334-0292
Mailing Address - Country:US
Mailing Address - Phone:937-538-7413
Mailing Address - Fax:
Practice Address - Street 1:101 WATERFORD CT
Practice Address - Street 2:
Practice Address - City:JACKSON CENTER
Practice Address - State:OH
Practice Address - Zip Code:45334-6032
Practice Address - Country:US
Practice Address - Phone:193-753-8741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-02
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant