Provider Demographics
NPI:1740018282
Name:SMITH, JOSEF NATHAN (MBA, PARAMEDIC)
Entity type:Individual
Prefix:
First Name:JOSEF
Middle Name:NATHAN
Last Name:SMITH
Suffix:
Gender:M
Credentials:MBA, PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 N RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035
Mailing Address - Country:US
Mailing Address - Phone:440-714-1854
Mailing Address - Fax:
Practice Address - Street 1:2100 N RIDGE RD
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-1241
Practice Address - Country:US
Practice Address - Phone:440-714-1854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator