Organization
D. SUZI JAGODITZ
Active
Other names
Jag's
Organization subpart
No
Provider details
NPI number
Authorized official
D.SUZI JAGODITZ (OWNER)
(513) 829-8988
Entity
Organization
Contact information
Practice address
630 NILLES RD, FAIRFIELD, OH 45014
(513) 829-8988
(513) 829-8988
Mailing address
630 NILLES RD, FAIRFIELD, OH 45014
(513) 829-8988
(513) 829-8988
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000253723
ANTHEM PIN
OH
01
—
57718
NORTHWOOD NPN PIN
OH
Enumeration date
02/22/2007
Last updated
08/18/2008
Update your record
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