Provider Demographics
NPI:1457500597
Name:CEZAIR-MCCALEP, JEANIE K
Entity Type:Individual
Prefix:MS
First Name:JEANIE
Middle Name:K
Last Name:CEZAIR-MCCALEP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3999 E 141ST ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-1801
Mailing Address - Country:US
Mailing Address - Phone:440-317-1964
Mailing Address - Fax:216-862-9416
Practice Address - Street 1:3999 E 141ST ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-1801
Practice Address - Country:US
Practice Address - Phone:440-317-1964
Practice Address - Fax:216-862-9416
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-13
Last Update Date:2008-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)