Provider Demographics
NPI:1760876239
Name:OZUCH, CAROLINE PAIGE
Entity Type:Individual
Prefix:MISS
First Name:CAROLINE
Middle Name:PAIGE
Last Name:OZUCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9587 ROLLING GREENS DR
Mailing Address - Street 2:
Mailing Address - City:PINCKNEY
Mailing Address - State:MI
Mailing Address - Zip Code:48169-8131
Mailing Address - Country:US
Mailing Address - Phone:734-718-2062
Mailing Address - Fax:
Practice Address - Street 1:9587 ROLLING GREENS DR
Practice Address - Street 2:
Practice Address - City:PINCKNEY
Practice Address - State:MI
Practice Address - Zip Code:48169-8131
Practice Address - Country:US
Practice Address - Phone:734-718-2062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-23
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other