Provider Demographics
NPI:1154930972
Name:SWISHER, DANIEL M
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:M
Last Name:SWISHER
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 1:5817 CLEAR STREAM WAY
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-6640
Mailing Address - Country:US
Mailing Address - Phone:614-352-4470
Mailing Address - Fax:
Practice Address - Street 1:5817 CLEAR STREAM WAY
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-6640
Practice Address - Country:US
Practice Address - Phone:614-352-4470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker