Provider Demographics
NPI:1568171841
Name:CLAPSADDLE, MONIQUE LUV
Entity Type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:LUV
Last Name:CLAPSADDLE
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 1:1327 VINAL ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43605-3653
Mailing Address - Country:US
Mailing Address - Phone:567-420-4975
Mailing Address - Fax:
Practice Address - Street 1:1327 VINAL ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43605-3653
Practice Address - Country:US
Practice Address - Phone:567-420-4975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-16
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0008269Medicaid