Dzuroff, Jill M
Dzuroff, Jill M is an sole proprietor health care provider with primary practice located at 435 W Liberty St , Medina OH 44256. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dzuroff, Jill M can be contacted via phone (216) 749-6650.Contact Information
Primary practice address
435 W Liberty St
Medina OH 44256
Phone: (216) 749-6650
Fax: (330) 723-8920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP.05242 | Ohio |
Profile Details
| NPI number | 1811039811 |
|---|---|
| LBN Legal business name | Dzuroff, Jill M |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Nov 7th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811039811 | NPPES |
| Ohio | MEDICAID | 0148018 | |
| Ohio | Other | 11536692 |
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