Provider Demographics
NPI:1720762578
Name:CURINGTON, MICHEL'LE SHANNE (MED)
Entity Type:Individual
Prefix:MS
First Name:MICHEL'LE
Middle Name:SHANNE
Last Name:CURINGTON
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 RIVERSIDE DR STE 2A
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45405-4956
Mailing Address - Country:US
Mailing Address - Phone:937-853-8333
Mailing Address - Fax:
Practice Address - Street 1:201 RIVERSIDE DR STE 2A
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45405-4956
Practice Address - Country:US
Practice Address - Phone:937-853-8333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH3200338171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor