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NPI Code Detail

MEDICARE: JAZZMAN CHANEY

MEDICARE:   JAZZMAN  CHANEY
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1659126548
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAZZMAN CHANEY
Provider Business Mailing Address
First Line : 24101 LAKE SHORE BLVD APT 902A
Second Line :
City : EUCLID
State : OH
Zip : 44123-4211
Country : US
Telephone Number : 440-610-0155
Fax Number :
Provider Business Practice Location Address
First Line : 24101 LAKE SHORE BLVD APT 902A
Second Line :
City : EUCLID
State : OH
Zip : 44123-4211
Country : US
Telephone Number : 440-610-0155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2024
Last Update Date : 04/23/2024

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Directions to “ JAZZMAN CHANEY ” Practice Location

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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.