Provider Demographics
NPI:1922822683
Name:CROSON, SHEINA
Entity type:Individual
Prefix:
First Name:SHEINA
Middle Name:
Last Name:CROSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2286
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-7286
Mailing Address - Country:US
Mailing Address - Phone:630-701-8978
Mailing Address - Fax:
Practice Address - Street 1:374 DAVIS RD
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-1305
Practice Address - Country:US
Practice Address - Phone:331-220-5252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)