Provider Demographics
NPI:1619570751
Name:SZABO, JEREMY L (HHA)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:L
Last Name:SZABO
Suffix:
Gender:M
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5304 POCONO DR
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-6021
Mailing Address - Country:US
Mailing Address - Phone:937-673-5902
Mailing Address - Fax:
Practice Address - Street 1:5304 POCONO DR
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-6021
Practice Address - Country:US
Practice Address - Phone:937-673-5902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty