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NPI Code Detail

MEDICARE: JARED OENICK

MEDICARE: JARED OENICK
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1629903059
Entity Type Code : Individual
Provider Name (Legal Business Name) : JARED OENICK
Provider Business Mailing Address
First Line : 200 N SAINT CLAIR ST APT 2506
Second Line :
City : TOLEDO
State : OH
Zip : 43604-1571
Country : US
Telephone Number : 470-455-3429
Fax Number :
Provider Business Practice Location Address
First Line : 3000 ARLINGTON AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43614-2598
Country : US
Telephone Number : 419-383-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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Directions to “ JARED OENICK ” Practice Location

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