Healthcare Provider Details

I. General information

NPI: 1467005223
Provider Name (Legal Business Name): WHITNEY STRELECKY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2019
Last Update Date: 07/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 N 3RD ST STE 300
NEWARK OH
43055-5550
US

IV. Provider business mailing address

15 N 3RD ST STE 300
NEWARK OH
43055-5550
US

V. Phone/Fax

Practice location:
  • Phone: 740-349-7511
  • Fax: 740-522-4263
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: