Morton, Jodi Faye

Morton, Jodi Faye is an individual health care provider with primary practice located at 12557 Ravenwood Dr , Chardon OH 44024-9009. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Morton, Jodi Faye can be contacted via phone (440) 285-3568.

Contact Information

Primary practice address
12557 Ravenwood Dr Chardon OH 44024-9009
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1801480462
LBN Legal business name Morton, Jodi Faye
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2021
Last updated Aug 23rd, 2022 - 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 1801480462 NPPES
Ohio MEDICAID 0434876

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