Provider Demographics
NPI:1487656682
Name:ZOCHOWSKI, JENNIFER KATHERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:KATHERINE
Last Name:ZOCHOWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8200 HAZELTON ETNA RD SW
Mailing Address - Street 2:STE 100
Mailing Address - City:PATASKALA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-9630
Mailing Address - Country:US
Mailing Address - Phone:740-927-7665
Mailing Address - Fax:740-964-0342
Practice Address - Street 1:8200 HAZELTON ETNA RD SW
Practice Address - Street 2:STE 100
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062-9630
Practice Address - Country:US
Practice Address - Phone:740-927-7665
Practice Address - Fax:740-964-0342
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35077242207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2257454Medicaid
OHZO4059542Medicare ID - Type Unspecified
OH2257454Medicaid