| Mylo Jennings & Associates, Llc | |
|
2737 Navarre Ave Suite 205 Oregon OH 43616-3298 | |
| (419) 691-8500 | |
| (419) 691-8500 |
| Full Name | Mylo Jennings & Associates, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2737 Navarre Ave, Oregon, Ohio |
| Authorized Official Name and Position | Mylo G. Jennings (OWNER) |
| Authorized Official Contact | 4196918500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mylo Jennings & Associates, Llc 2737 Navarre Ave Suite 205 Oregon OH 43616-3298 Ph: (419) 691-8500 | Mylo Jennings & Associates, Llc 2737 Navarre Ave Suite 205 Oregon OH 43616-3298 Ph: (419) 691-8500 |
| NPI Number | 1568767481 |
|---|---|
| Provider Enumeration Date | 01/25/2011 |
| Last Update Date | 01/25/2011 |
| Medicare PECOS PAC ID | 7315286143 |
|---|---|
| Medicare Enrollment ID | O20190222000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568767481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I8633-S (Ohio) | Primary |
| Provider Name | Mylo G Jennings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518155159 PECOS PAC ID: 8729114749 Enrollment ID: I20100623000222 |
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