Jayaraj, Poongothai G
Jayaraj, Poongothai G is an sole proprietor health care provider with primary practice located at 12395 Mccracken Rd Ste A-Up , Garfield Hts OH 44125-2967. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Jayaraj, Poongothai G can be contacted via phone (216) 587-6727.Contact Information
Primary practice address
12395 Mccracken Rd Ste A-Up
Garfield Hts OH 44125-2967
Phone: (216) 587-6727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | S1101655 | Ohio |
Profile Details
| NPI number | 1669039145 |
|---|---|
| LBN Legal business name | Jayaraj, Poongothai G |
| Credentials | LSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2019 |
| Last updated | Apr 11th, 2025 - about last year |
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 | 1669039145 | NPPES |
| Ohio | MEDICAID | 0371424 |
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