STEPHEN SHATTUCK NPI 1023883147

NPI Information

  • NPI: 1023883147
  • Provider Name: STEPHEN SHATTUCK
  • Classification: Contractor - 171WH0202X
  • Specialization: Home Modifications
  • Entity Type: Individual
  • Address: 465 BRENELLE LN
    MEDINA, OH
    ZIP 44256
  • Phone: (616) 481-1499

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NPI Details

Stephen Shattuck is a home modifications contractor in Medina, OH. The provider is a contractor who makes modifications to homes to accommodate a health condition. Stephen Shattuck NPI is 1023883147. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

465 BRENELLE LN
MEDINA, OH
ZIP 44256-515
Phone: (616) 481-1499

The enumeration date for this NPI number is 11/20/2023 and was last updated on 11/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171WH0202XContractorHome ModificationsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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