Search › Ohio › 171M00000X
Patrice Shackle
NPI 1275027617 · on the registry since 2018 · sole proprietor
Practice
- Address
- 117 W High St
Mount Vernon, OH 43050 - Phone
- (740) 392-9491
- Fax
- (740) 392-9165
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 175T00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio