Jessica R Ickes, MD is a student in an organized health care education training program in Perrysburg, OH. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jessica R Ickes, MD NPI is 1780146878. 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:
7045 LIGHTHOUSE WAY
PERRYSBURG, OH
ZIP 43551
Phone: (419) 873-6836
Fax: (419) 873-6837
The NPI 1780146878 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/5/2019 and was last updated on 4/5/2019.