Provider Demographics
NPI:1093848814
Name:ZUROVCHAK, JANET L (DO)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:L
Last Name:ZUROVCHAK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 DOWELL AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-2305
Mailing Address - Country:US
Mailing Address - Phone:937-599-3538
Mailing Address - Fax:937-599-4712
Practice Address - Street 1:110 DOWELL AVE
Practice Address - Street 2:
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-2305
Practice Address - Country:US
Practice Address - Phone:937-599-3538
Practice Address - Fax:937-599-4712
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34004809207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0923219Medicaid
OH0923219Medicaid
OHZU0739991Medicare ID - Type Unspecified