Provider Demographics
NPI:1679690671
Name:SAWYER, DONNA EUGENIA
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:EUGENIA
Last Name:SAWYER
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 1:4196 HOLSTEIN DR
Mailing Address - Street 2:
Mailing Address - City:OBETZ
Mailing Address - State:OH
Mailing Address - Zip Code:43207-3772
Mailing Address - Country:US
Mailing Address - Phone:614-332-8057
Mailing Address - Fax:
Practice Address - Street 1:4196 HOLSTEIN DR
Practice Address - Street 2:
Practice Address - City:OBETZ
Practice Address - State:OH
Practice Address - Zip Code:43207-3772
Practice Address - Country:US
Practice Address - Phone:614-332-8057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH320023830993376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1679690671Medicaid
OH2416095OtherSTATE PROVIDER # HOME HEA