Smith, Jerry

Smith, Jerry is an individual health care provider with primary practice located at 6753 State Rd , Parma OH 44134-4517. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Smith, Jerry can be contacted via phone (440) 843-5549.

Contact Information

Primary practice address
6753 State Rd Parma OH 44134-4517
Phone: (440) 843-5549
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.167631 Ohio

Profile Details

NPI number 1700366291
LBN Legal business name Smith, Jerry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2018
Last updated Aug 15th, 2018 - about 8 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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