Pbj Connections, Inc. | |
9734 Jug St Nw Pataskala OH 43062-9746 | |
(614) 395-1395 | |
(740) 924-2002 |
Full Name | Pbj Connections, Inc. |
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Speciality | Social Worker |
Location | 9734 Jug St Nw, Pataskala, Ohio |
Authorized Official Name and Position | Holly E Jedlicka (PROGRAM DIRECTOR/THERAPIST) |
Authorized Official Contact | 6143951395 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pbj Connections, Inc. 9734 Jug St Nw Pataskala OH 43062-8691 Ph: (614) 395-1395 | Pbj Connections, Inc. 9734 Jug St Nw Pataskala OH 43062-9746 Ph: (614) 395-1395 |
NPI Number | 1821302654 |
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Provider Enumeration Date | 08/04/2010 |
Last Update Date | 10/15/2016 |
Medicare PECOS PAC ID | 1456613967 |
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Medicare Enrollment ID | O20180321002221 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821302654 | NPI | - | NPPES |
2807341 | Medicaid | OH |
Provider Name | Anissa Kasarjian |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508387069 PECOS PAC ID: 4688933914 Enrollment ID: I20180112001667 |
Provider Name | Holly Jedlicka |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033460480 PECOS PAC ID: 1254693765 Enrollment ID: I20180321002371 |
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