Wychock, Stephen Gerald

Wychock, Stephen Gerald is an sole proprietor health care provider with primary practice located at 607 Lake Ave , Ashtabula OH 44004-3262. He recently has 8 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Wychock, Stephen Gerald can be contacted via phone (440) 964-2035.

Contact Information

Primary practice address
607 Lake Ave Ashtabula OH 44004-3262
Phone: (440) 964-2035
Fax: (440) 964-0699
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-6573 Ohio
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics 2251E1200X PT-6573 Ohio
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X PT-6573 Ohio
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X PT-6573 Ohio
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology 2251N0400X PT-6573 Ohio
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT-6573 Ohio
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PT-6573 Ohio
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT-6573 Ohio

Profile Details

NPI number 1760489413
LBN Legal business name Wychock, Stephen Gerald
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Oct 4th, 2007 - about 17 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 1760489413 NPPES
Ohio Other P-12042976 MULTIPLAN
Ohio Other 2160561 MULTIPLAN
Ohio MEDICAID 2361699 MULTIPLAN
Ohio Other 233508 MULTIPLAN
Ohio Other WY756076 MULTIPLAN
Ohio Other 000000320301 MULTIPLAN
Ohio Other 000000320302 MULTIPLAN
Ohio Other 200346640-00 MULTIPLAN

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