Provider Demographics
NPI:1962286872
Name:ZIELINSKI, JEFFREY ALAN
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:ALAN
Last Name:ZIELINSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 STANFORD DR
Mailing Address - Street 2:
Mailing Address - City:BEREA
Mailing Address - State:OH
Mailing Address - Zip Code:44017-1563
Mailing Address - Country:US
Mailing Address - Phone:440-465-5334
Mailing Address - Fax:
Practice Address - Street 1:202 STANFORD DR
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:OH
Practice Address - Zip Code:44017-1563
Practice Address - Country:US
Practice Address - Phone:440-465-5334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care