SUEANN JEFFERDS NPI 1003533852

NPI Information

NPI: 1003533852
Provider Name: SUEANN JEFFERDS
Classification: Contractor - 171WH0202X
Entity Type: Individual

Specialization: Home Modifications

Address:
5146 HALLGATE AVE
TOLEDO, OH
ZIP 43612
Phone: (419) 806-9908
Get Directions

Sueann Jefferds is a home modifications contractor in Toledo, OH. Sueann Jefferds NPI is 1003533852. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5146 HALLGATE AVE
TOLEDO, OH
ZIP 43612-020
Phone: (419) 806-9908

The enumeration date for this NPI number is 10/24/2022 and was last updated on 10/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171WH0202X	Contractor	Home Modifications			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0296271	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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