Zake, Jerome

Zake, Jerome is an individual health care provider with primary practice located at 3454 Oak Alley Ct Suite 305, Toledo OH 43606-1306. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Zake, Jerome can be contacted via phone (419) 534-2468.

Contact Information

Primary practice address
3454 Oak Alley Ct Suite 305 Toledo OH 43606-1306
Phone: (419) 534-2468
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4135 Ohio
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 4135 Ohio

Profile Details

NPI number 1922068964
LBN Legal business name Zake, Jerome
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 9th, 2007 - about 18 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 1922068964 NPPES
Ohio MEDICAID 0759460

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