NPI 1093484081

Regis John Shuttic

Practitioner Peer Specialist Warren, OH

Practice location

Address: 1705 Woodland St NE, Warren, OH 44483-5348
Phone: (330) 469-6777

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1093484081
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Sep 2021
Record last updated: 13 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.