Jonathan Earl Walls
Individual provider Active NPI Personal Care Attendant · Windham, OH
NPI 1942012174 · NPPES record last updated Jan 24, 2025
Key facts
- NPI
- 1942012174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- License
- 111111 (OH)
- Practice address
- 7763 State Route 303
Windham, OH 44288-9791 - Phone
- (330) 442-2813
- NPI assigned
- Jan 24, 2025
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111111 | OH | MD | Personal Care Attendant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant |
3747P1801X | 111111 | OH | Yes |
Addresses
Primary practice location
7763 State Route 303
Windham, OH 44288-9791
Mailing address
7763 State Route 303
Windham, OH 44288-9791
Phone (330) 442-2813
Other providers in Windham, OH
- Brent J Swipas
- The Windham Clinic, Inc.
- Christopher Trimmer
- Jessaline Veccia
- Rachel Anne Veccia
- Windham Exempted Village Schools
- Windham Pharmacy Inc
- Windham Township Trustees
- WVFD Joint Fire District
- Kayla Jillynn Yartz
All providers in Windham, OH · Personal Care Attendant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2025. 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.