Brian Jacobs

Individual provider Active NPI Personal Care Attendant · Middlefield, OH

NPI 1295413136 · NPPES record last updated Jul 10, 2023

Key facts

NPI
1295413136
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
14864 Northview Dr
Middlefield, OH 44062-9254
Phone
(216) 702-7107
NPI assigned
Jul 10, 2023
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

14864 Northview Dr
Middlefield, OH 44062-9254

Mailing address

14864 Northview Dr
Middlefield, OH 44062-9254
Phone (216) 702-7107

Other providers in Middlefield, OH

All providers in Middlefield, OH · Personal Care Attendant in Ohio

Sources for this page

Verify at the official NPI Registry.