Jay, Monica Sue

Jay, Monica Sue is an individual health care provider with primary practice located at 317 Birchard Ave , Fremont OH 43420-3011. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jay, Monica Sue can be contacted via phone (419) 680-0937.

Contact Information

Primary practice address
317 Birchard Ave Fremont OH 43420-3011
Phone: (419) 680-0937
Fax: (567) 249-0067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0800149 Ohio

Profile Details

NPI number 1235376823
LBN Legal business name Jay, Monica Sue
Credentials LISW-S
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2009
Last updated Apr 23rd, 2024 - about last year

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 1235376823 NPPES
Other 271562089004 BC#
MEDICAID 0530447 BC#

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