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NPI Code Detail

MEDICARE: JACOB BECHTEL

MEDICARE: JACOB BECHTEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1366304461
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB BECHTEL
Provider Business Mailing Address
First Line : 41315 N RIDGE RD
Second Line :
City : ELYRIA
State : OH
Zip : 44035-1242
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 41315 N RIDGE RD
Second Line :
City : ELYRIA
State : OH
Zip : 44035-1242
Country : US
Telephone Number : 440-366-1106
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2025
Last Update Date : 11/26/2025

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Directions to “ JACOB BECHTEL ” Practice Location

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