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:
Health care specialties
| Specialty | Code | License # | 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 13th, 2026 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922068964 | NPPES |
| Ohio | MEDICAID | 0759460 |
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