Provider Demographics
NPI:1609483353
Name:HAIGES, DEBORAH SUNSHINE
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:SUNSHINE
Last Name:HAIGES
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 1:2543 EVERMUR DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45414-1401
Mailing Address - Country:US
Mailing Address - Phone:937-369-3251
Mailing Address - Fax:
Practice Address - Street 1:2543 EVERMUR DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45414-1401
Practice Address - Country:US
Practice Address - Phone:937-369-3251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-27
Last Update Date:2020-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57185523747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant