Provider Demographics
NPI:1912444324
Name:BAINGULL, SHARMAINE
Entity Type:Individual
Prefix:
First Name:SHARMAINE
Middle Name:
Last Name:BAINGULL
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 1:656 COLUMBUS ST
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-2938
Mailing Address - Country:US
Mailing Address - Phone:216-694-1950
Mailing Address - Fax:
Practice Address - Street 1:656 COLUMBUS ST
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-2938
Practice Address - Country:US
Practice Address - Phone:216-694-1950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker