Provider Demographics
NPI:1871321794
Name:PASKERT, ELAINE SUSAN
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:SUSAN
Last Name:PASKERT
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 1:9422 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-2728
Mailing Address - Country:US
Mailing Address - Phone:440-781-2252
Mailing Address - Fax:
Practice Address - Street 1:9422 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-2728
Practice Address - Country:US
Practice Address - Phone:440-781-2252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide