Glaze, Jeffrey

Glaze, Jeffrey is an sole proprietor health care provider with primary practice located at 1139 E Garfield Rd , Aurora OH 44202-7755. He recently has 4 registered licenses in different health care specialties including Nursing Service Related Providers / Personal Care Attendant, Transportation Services / Private Vehicle, Nursing Service Related Providers / Homemaker, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is his primary health care specialty. Glaze, Jeffrey can be contacted via phone (440) 382-2399.

Contact Information

Primary practice address
1139 E Garfield Rd Aurora OH 44202-7755
Phone: (440) 382-2399
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Transportation Services / Private Vehicle 347C00000X
Nursing Service Related Providers / Homemaker 376J00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1861075657
LBN Legal business name Glaze, Jeffrey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2021
Last updated Apr 30th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861075657 NPPES
Ohio MEDICAID 0430148

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