Parks, Jerade Andrew
Parks, Jerade Andrew is an sole proprietor health care provider with primary practice located at 2026 Baxterly Ave , Lakewood OH 44107-6028. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Parks, Jerade Andrew can be contacted via phone (248) 921-8785.Contact Information
Primary practice address
2026 Baxterly Ave
Lakewood OH 44107-6028
Phone: (248) 921-8785
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT002960 | Ohio |
Profile Details
| NPI number | 1356788632 |
|---|---|
| LBN Legal business name | Parks, Jerade Andrew |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2013 |
| Last updated | Oct 4th, 2019 - 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.
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