Thomas, Jerry Edward

Thomas, Jerry Edward is an individual health care provider with primary practice located at 11470 County Road 1 , Chesapeake OH 45619-7010. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Thomas, Jerry Edward can be contacted via phone (740) 451-0074.

Contact Information

Primary practice address
11470 County Road 1 Chesapeake OH 45619-7010
Phone: (740) 451-0074
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCIII.161573 Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X LICDC.161973 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC.161973 Ohio

Profile Details

NPI number 1306362330
LBN Legal business name Thomas, Jerry Edward
Credentials LICDC-CS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2017
Last updated Feb 21st, 2024 - about 10 months 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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