Individual
JAY F LOZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
280 PATTONSVILLE RD, JACKSON, OH 45640-9452
(740) 395-8805
(740) 395-8855
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 395-8805
(740) 395-8855
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.007802
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000301941
OHO MEDICAID UNISOURCE
OH
01
—
000000658779
ANTHEM
—
01
—
0309027
CIGNA
—
01
—
10031001
BWC
WV
01
—
3041824
OH MEDICAID MOLINA
OH
05
—
3041827
—
OH
01
—
310917085167
OH MEDICAID CARESOURCE
OH
05
—
3810017531
—
WV
01
—
P00841139
RR MEDICARE
OH
Enumeration date
05/07/2010
Last updated
02/18/2014
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