Provider Demographics
NPI:1821459405
Name:RUMA, JAN L
Entity Type:Individual
Prefix:
First Name:JAN
Middle Name:L
Last Name:RUMA
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 1:3231 CENTRAL PARK W
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43617-3008
Mailing Address - Country:US
Mailing Address - Phone:419-842-0800
Mailing Address - Fax:419-843-8889
Practice Address - Street 1:3231 CENTRAL PARK W
Practice Address - Street 2:SUITE 200
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-3008
Practice Address - Country:US
Practice Address - Phone:419-842-0800
Practice Address - Fax:419-843-8889
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management