Vansach, Jodie

Vansach, Jodie is an individual health care provider with primary practice located at 6140 S Broadway , Lorain OH 44053-3821. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Vansach, Jodie can be contacted via phone (440) 204-4314.

Contact Information

Primary practice address
6140 S Broadway Lorain OH 44053-3821
Fax: (440) 204-4315
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E-0002359 Ohio

Profile Details

NPI number 1134162647
LBN Legal business name Vansach, Jodie
Credentials M.ED., LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Mar 24th, 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 1134162647 NPPES
Ohio Other 000000197443 ANTHEM PIN NUMBER
Ohio Other 293764000 ANTHEM PIN NUMBER

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