| Joy D Fruchey And Associates, Llc | |
|
850 W Elm St Wauseon OH 43567-1189 | |
| (567) 343-6068 | |
| Not Available |
| Full Name | Joy D Fruchey And Associates, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 850 W Elm St, Wauseon, Ohio |
| Authorized Official Name and Position | Joy Fruchey (PRESIDENT) |
| Authorized Official Contact | 5673436068 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joy D Fruchey And Associates, Llc Po Box 293 Wauseon OH 43567-0293 Ph: (567) 343-6068 | Joy D Fruchey And Associates, Llc 850 W Elm St Wauseon OH 43567-1189 Ph: (567) 343-6068 |
| NPI Number | 1710625306 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Medicare PECOS PAC ID | 6800254541 |
|---|---|
| Medicare Enrollment ID | O20230628000500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710625306 | NPI | - | NPPES |
| 0210958 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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