Provider Demographics
NPI:1992574073
Name:GLASGOW, SHAWNTERRA (DHSC)
Entity type:Individual
Prefix:DR
First Name:SHAWNTERRA
Middle Name:
Last Name:GLASGOW
Suffix:
Gender:F
Credentials:DHSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2255 W ALEXIS RD APT 1
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-2161
Mailing Address - Country:US
Mailing Address - Phone:216-526-9210
Mailing Address - Fax:
Practice Address - Street 1:2255 W ALEXIS RD APT 1
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-2161
Practice Address - Country:US
Practice Address - Phone:216-526-9210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide