Provider Demographics
NPI:1013733203
Name:SHUR, ELI (HEALTH COACH)
Entity type:Individual
Prefix:DR
First Name:ELI
Middle Name:
Last Name:SHUR
Suffix:
Gender:M
Credentials:HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6466 FIRESIDE DR
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-2007
Mailing Address - Country:US
Mailing Address - Phone:937-903-7026
Mailing Address - Fax:
Practice Address - Street 1:6466 FIRESIDE DR
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-2007
Practice Address - Country:US
Practice Address - Phone:937-903-7026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach