Provider Demographics
NPI:1831934876
Name:SHETLER, DORCAS DELORES (CPM)
Entity type:Individual
Prefix:
First Name:DORCAS
Middle Name:DELORES
Last Name:SHETLER
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33272 STATE ROUTE 643
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:OH
Mailing Address - Zip Code:43824-9054
Mailing Address - Country:US
Mailing Address - Phone:434-547-9229
Mailing Address - Fax:
Practice Address - Street 1:33272 STATE ROUTE 643
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:OH
Practice Address - Zip Code:43824-9054
Practice Address - Country:US
Practice Address - Phone:434-547-9229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0129000190176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife