Provider Demographics
NPI:1962006932
Name:SCHWAB, CIERRA E
Entity Type:Individual
Prefix:
First Name:CIERRA
Middle Name:E
Last Name:SCHWAB
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 1:17 CLINTON STREET
Mailing Address - Street 2:
Mailing Address - City:BLOOMVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44818
Mailing Address - Country:US
Mailing Address - Phone:419-709-0999
Mailing Address - Fax:
Practice Address - Street 1:17 CLINTON STREET
Practice Address - Street 2:
Practice Address - City:BLOOMVILLE
Practice Address - State:OH
Practice Address - Zip Code:44818
Practice Address - Country:US
Practice Address - Phone:419-709-0999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant