Provider Demographics
NPI:1558132993
Name:HEGEDUS, JEFF C
Entity Type:Individual
Prefix:MR
First Name:JEFF
Middle Name:C
Last Name:HEGEDUS
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:JEFF
Other - Middle Name:C
Other - Last Name:HEGEDUS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2758 HOME RD
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-1778
Mailing Address - Country:US
Mailing Address - Phone:380-241-9855
Mailing Address - Fax:
Practice Address - Street 1:2758 HOME RD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-1778
Practice Address - Country:US
Practice Address - Phone:380-241-9855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator