MEDICARE: JEREMY RAYMOND DICUS AT

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
1	2255A2300X	Athletic Trainer	002554	OH

General Provider Information

NPI Number	:	1518939057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEREMY RAYMOND DICUS AT

Provider Business Mailing Address
First Line	:	1268 SHERIDAN DR
Second Line	:	APARTMENT H
City	:	LANCASTER
State	:	OH
Zip	:	43130-1940
Country	:	US
Telephone Number	:	740-821-2775
Fax Number	:

Provider Business Practice Location Address
First Line	:	OHIO UNIVERSITY
Second Line	:	GROVER CENTER E207
City	:	ATHENS
State	:	OH
Zip	:	45701-2979
Country	:	US
Telephone Number	:	740-593-9497
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1982687083 — MRS. CYNTHIA ANN GREENLEE RN, CNP
Practice Location Address:

204 GROSVENOR HALL DR , OHIO UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
ATHENS, OH
45701-2979

Practice Phone: 740-593-2500
Practice Fax:

1295707735 — DR. JEFFREY G SEEGMILLER AT
Practice Location Address:

OHIO UNIVERSITY , GROVER CENTER E207
ATHENS, OH
45701-2979

Practice Phone: 740-593-9497
Practice Fax:

1982676425 — ANNIKA BAILEY
Practice Location Address:

1 CONVOCATION CENTER , OHIO UNIVERSITY
ATHENS, OH
45701-2979

Practice Phone: 740-593-1206
Practice Fax:

1790757235 — MISS ERIN KIMBERLY FINNEGAN ATC
Practice Location Address:

OHIO UNIVERSTIY , GROVER CENTER E207
ATHENS, OH
45701-2979

Practice Phone: 740-593-0322
Practice Fax:

1508838046 — MR. GREGORY GEORGE BOZEKA LAT
Practice Location Address:

OHIO UNIVERSITY , GROVER E207
ATHENS, OH
45701-2979

Practice Phone: 740-593-9497
Practice Fax:

1417929951 — MR. JASON ALLEN DALEY AT
Practice Location Address:

OHIO UNIVERSITY , GROVER CENTER E207
ATHENS, OK
45701-2979

Practice Phone: 740-593-9497
Practice Fax:

Directions to “ JEREMY RAYMOND DICUS AT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.