Gietzen, Eric Anthony
Gietzen, Eric Anthony is an individual health care provider with primary practice located at 93 Rolling Park Dr N , Massillon OH 44647-5196. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Gietzen, Eric Anthony can be contacted via phone (330) 617-7598.Contact Information
Primary practice address
93 Rolling Park Dr N
Massillon OH 44647-5196
Phone: (330) 617-7598
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X |
Profile Details
| NPI number | 1225554348 |
|---|---|
| LBN Legal business name | Gietzen, Eric Anthony |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2017 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1225554348 | NPPES |
| Ohio | MEDICAID | 475186391 |
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