Individual
CANDACE FOLLEY ZUBRICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25200 CENTER RIDGE RD, SUITE 2000, WESTLAKE, OH 44145-4141
(440) 331-3321
(440) 331-3373
Mailing address
24651 CENTER RIDGE RD, STE 350, WESTLAKE, OH 44145-5635
(440) 895-5056
(440) 333-2935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35063777Z
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119204
GROUP MEDICAID
—
05
—
0969699
—
OH
01
—
10801862
CAQH
—
01
—
121423
KAISER
—
01
—
1780634279
GROUP NPI
—
01
—
3610861
GROUP ASC MEDICARE
—
01
—
9273172
GROUP MEDICARE
—
01
—
CA4511
RR MEDICARE GROUP
—
01
—
D368301
GROUP IND DIAGNOSTICS MED
—
01
—
P00064895
RR MEDICARE INDIVIDUAL
—
Enumeration date
03/09/2006
Last updated
10/26/2011
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