SearchOhio101YA0400X

Shawn Whisman, CDCA

NPI 1760971949 · on the registry since 2018 · sole proprietor

Practice

Address
9620 Careys Run Pond Creek Rd
Mc Dermott, OH 45652
Phone
(740) 858-6683
Organisation at this address
Moving Forward Residential Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Additional practice sites

  • 7175 State Route 104, Mc Dermott, OH

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
171M00000X
101YM0800X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-08

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