Provider Demographics
NPI:1568123149
Name:ZILE, JAARON ROBERT
Entity Type:Individual
Prefix:
First Name:JAARON
Middle Name:ROBERT
Last Name:ZILE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4622 OAKRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417-1149
Mailing Address - Country:US
Mailing Address - Phone:937-802-7645
Mailing Address - Fax:
Practice Address - Street 1:4622 OAKRIDGE DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-1149
Practice Address - Country:US
Practice Address - Phone:937-802-7645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker