Provider Demographics
NPI:1598757015
Name:JOHN G STRATTON INC
Entity Type:Organization
Organization Name:JOHN G STRATTON INC
Other - Org Name:PSYCHOLOGICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:STRATTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:419-625-4334
Mailing Address - Street 1:1031 PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-4669
Mailing Address - Country:US
Mailing Address - Phone:419-625-4334
Mailing Address - Fax:419-625-4657
Practice Address - Street 1:1031 PIERCE ST
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-4669
Practice Address - Country:US
Practice Address - Phone:419-625-4334
Practice Address - Fax:419-625-4657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH56054740700OtherBUREAU OF WORKERS COMP
OH000000167113OtherANTHEM BLUE CROSS
12803220OtherDEPARTMENT OF LABOR
OH000000167113OtherANTHEM BLUE CROSS
OH56054740700OtherBUREAU OF WORKERS COMP
OH56054740700OtherBUREAU OF WORKERS COMP