Provider Demographics
NPI:1801354881
Name:FINCH, SHEILA
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:FINCH
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 1:902 E 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43211-2480
Mailing Address - Country:US
Mailing Address - Phone:614-597-6939
Mailing Address - Fax:888-388-6294
Practice Address - Street 1:902 E 18TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43211-2480
Practice Address - Country:US
Practice Address - Phone:614-597-6939
Practice Address - Fax:888-388-6294
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-08
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHL3N4J5W9246RP1900X
OH402257060320376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0411650Medicaid