Provider Demographics
NPI:1831786979
Name:SHUGARS, CHASITY RENEE
Entity type:Individual
Prefix:
First Name:CHASITY
Middle Name:RENEE
Last Name:SHUGARS
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 1:1978 HEADSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:KEYSER
Mailing Address - State:WV
Mailing Address - Zip Code:26726-6454
Mailing Address - Country:US
Mailing Address - Phone:304-813-0342
Mailing Address - Fax:304-788-6363
Practice Address - Street 1:1978 HEADSVILLE RD
Practice Address - Street 2:
Practice Address - City:KEYSER
Practice Address - State:WV
Practice Address - Zip Code:26726-6454
Practice Address - Country:US
Practice Address - Phone:304-813-0342
Practice Address - Fax:304-788-6363
Is Sole Proprietor?:No
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant