Perdeau, Jocelyn J

Perdeau, Jocelyn J is an individual health care provider with primary practice located at 111 Clinton St , Maumee OH 43537-2811. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Nursing Service Providers / Registered Nurse is her primary health care specialty. Perdeau, Jocelyn J can be contacted via phone (734) 464-0887.

Contact Information

Primary practice address
111 Clinton St Maumee OH 43537-2811
Phone: (734) 464-0887
Fax: (734) 402-0254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN-268844 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP07311 Ohio

Profile Details

NPI number 1265417364
LBN Legal business name Perdeau, Jocelyn J
Credentials F.N.P, R.N., C.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2005
Last updated Aug 6th, 2014 - about 12 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 1265417364 NPPES
Ohio Other 000000213037 ANTHEM
Ohio Other 01973 ANTHEM
Ohio MEDICAID 114719896 ANTHEM
Ohio MEDICAID 2413070 ANTHEM
Ohio Other P00193327 ANTHEM

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