Healthcare Provider Details

I. General information

NPI: 1124965736
Provider Name (Legal Business Name): JANETTE BUCK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

526 S MAIN ST STE 705
AKRON OH
44311-4401
US

IV. Provider business mailing address

4216 DUDLEY RD
MANTUA OH
44255-9475
US

V. Phone/Fax

Practice location:
  • Phone: 330-368-2400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: