Ford, Jeremy
Ford, Jeremy is an individual health care provider with primary practice located at 15609 Shirley Ave , Maple Heights OH 44137-4608. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Ford, Jeremy can be contacted via phone (216) 798-3294.Contact Information
Primary practice address
15609 Shirley Ave
Maple Heights OH 44137-4608
Phone: (216) 798-3294
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 025926 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 025926 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 025926 | Ohio |
Profile Details
| NPI number | 1316577372 |
|---|---|
| LBN Legal business name | Ford, Jeremy |
| Credentials | MSN, APRN, NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2020 |
| Last updated | Feb 2nd, 2021 - about 5 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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