Provider Demographics
NPI:1982312302
Name:SAWYER, MICHEL SHONINKEH
Entity Type:Individual
Prefix:
First Name:MICHEL
Middle Name:SHONINKEH
Last Name:SAWYER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5118 HERBERT DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2202
Mailing Address - Country:US
Mailing Address - Phone:240-716-8331
Mailing Address - Fax:
Practice Address - Street 1:5118 HERBERT DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2202
Practice Address - Country:US
Practice Address - Phone:240-716-8331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-15
Last Update Date:2023-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator