Corey Isidro Vandersall

Homemaker · Stow, OH

Individual Active NPI

NPI number 1811790637

Practice location

2414 Shadow Ln
Stow, OH 44224-1583
Phone
(234) 284-5172

Open in Google Maps

NPI record

NPI
1811790637
Entity type
Individual (Type 1)
Enumeration date
March 28, 2025
Last updated
March 28, 2025
Certified
March 28, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Homemaker Primary 376J00000X — —
Non-emergency Medical Transport (VAN) 343900000X — —

About Corey Vandersall

Corey Isidro Vandersall is a healthcare provider registered in the NPI registry with the primary taxonomy Homemaker (code 376J00000X). The practice location is 2414 Shadow Ln, Stow, OH 44224-1583. The NPI number 1811790637 was assigned on March 28, 2025 and the record was last updated on March 28, 2025.

Frequently asked questions

What is the NPI number of Corey Isidro Vandersall?

The NPI number is 1811790637.

What is the phone number of Corey Vandersall?

The phone number listed for the practice location is (234) 284-5172.

Where is Corey Vandersall located?

2414 Shadow Ln, Stow, OH 44224-1583.

What is the taxonomy code for Corey Vandersall?

The primary taxonomy code is 376J00000X – Homemaker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Homemaker providers in Stow

All Homemaker providers in Stow, OH →