Provider Demographics
NPI:1740075241
Name:WHITNER, DAWAWN SHEANTE SR
Entity type:Individual
Prefix:
First Name:DAWAWN
Middle Name:SHEANTE
Last Name:WHITNER
Suffix:SR
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1757 URBANA RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-1412
Mailing Address - Country:US
Mailing Address - Phone:216-925-2424
Mailing Address - Fax:
Practice Address - Street 1:1757 URBANA RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-1412
Practice Address - Country:US
Practice Address - Phone:216-925-2424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals