MEDICARE: JARED E SPEER

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1124980669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JARED E SPEER

Provider Business Mailing Address
First Line	:	2750 HECKMAN RD
Second Line	:
City	:	UNIONTOWN
State	:	OH
Zip	:	44685-8747
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2750 HECKMAN RD
Second Line	:
City	:	UNIONTOWN
State	:	OH
Zip	:	44685-8747
Country	:	US
Telephone Number	:	330-495-9577
Fax Number	:

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

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “ JARED E SPEER ” Practice Location

Language	Start Address	Practice Location

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