Duecker, Jody R
Duecker, Jody R is an individual health care provider with primary practice located at 19600 N Park Blvd , Shaker Heights OH 44122-1825. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Duecker, Jody R can be contacted via phone (216) 320-8796.Contact Information
Primary practice address
19600 N Park Blvd
Shaker Heights OH 44122-1825
Phone: (216) 320-8796
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2000007511 | Ohio |
Profile Details
| NPI number | 1033692587 |
|---|---|
| LBN Legal business name | Duecker, Jody R |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2018 |
| Last updated | Sep 11th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033692587 | NPPES |
| Ohio | MEDICAID | 2000007511 |
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