Individual
JASON SINDLEDECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1011 BOARDMAN CANFIELD RD, YOUNGSTOWN, OH 44512-4226
(330) 629-2888
(330) 629-2946
Mailing address
1011 BOARDMAN CANFIELD RD, YOUNGSTOWN, OH 44512-4226
(330) 629-2888
(330) 629-2946
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
16123
OH
363LG0600X
Gerontology Nurse Practitioner
16123
OH
363LP2300X
Primary Care Nurse Practitioner
16123
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118087
—
OH
Enumeration date
01/08/2015
Last updated
07/23/2015
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