Jerimy Clonch
Individual provider Active NPI Certified Respiratory Therapist · Jackson, OH
NPI 1891118402 · NPPES record last updated Feb 3, 2014
Key facts
- NPI
- 1891118402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Respiratory Therapist 227800000X
- License
- RCP.7452 (OH)
- Practice address
- 19 E Wood Ave
Jackson, OH 45640-1237 - Phone
- (740) 646-0616
- NPI assigned
- Feb 3, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RCP.7452 | OH | MD | Certified Respiratory Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | RCP.7452 | OH | Yes |
Addresses
Primary practice location
19 E Wood Ave
Jackson, OH 45640-1237
Mailing address
19 E Wood Ave
Jackson, OH 45640-1237
Phone (740) 646-0616
Other providers in Jackson, OH
- Courtney E Causey
- Sandra June Channell
- Tracie Louise Channell
- Abigail Elizabeth Christensen
- Mark G. Christopher
- Tracie Renee Clutter
- John Michael Colbert
- Yvonne Coleman
- Misty D Collier
- Desiree Nicole Collins
All providers in Jackson, OH · Certified Respiratory Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.