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Chad R Shillingburg

Contractor, Home Modifications in Mogadore, OH. Individual provider (NPI-1).

NPI number1114781069
StatusActive
Last updated in NPPESFeb 12, 2024

Details

NPI
1114781069
Entity type
Individual (NPI-1)
Name
Chad R Shillingburg
Sex
Male
Sole proprietor
No
Enumeration date
Feb 12, 2024
Certification date
Feb 12, 2024
Last updated
Feb 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171WH0202X Contractor, Home Modifications––Yes

Practice location

3383 Curtis St
Mogadore, OH 44260-1007

Phone 330-701-3688

Mailing address

3383 Curtis St
Mogadore, OH 44260-1007

Phone 330-701-3688

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