Provider Demographics
NPI:1205063229
Name:SANCHEZ, SHEENA MARIE
Entity type:Individual
Prefix:
First Name:SHEENA
Middle Name:MARIE
Last Name:SANCHEZ
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 1:549 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-2017
Mailing Address - Country:US
Mailing Address - Phone:740-751-4150
Mailing Address - Fax:
Practice Address - Street 1:549 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-2017
Practice Address - Country:US
Practice Address - Phone:740-751-4150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2449461OtherPRIVATE PROVIDER