Provider Demographics
NPI:1265220982
Name:BOOKER, SHARAE S
Entity type:Individual
Prefix:
First Name:SHARAE
Middle Name:S
Last Name:BOOKER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27621 CHAGRIN BLVD APT 428
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4454
Mailing Address - Country:US
Mailing Address - Phone:216-546-7099
Mailing Address - Fax:
Practice Address - Street 1:27621 CHAGRIN BLVD APT 428
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4454
Practice Address - Country:US
Practice Address - Phone:216-546-7099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator