Individual
JACOB STORCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6681 RIDGE RD STE 300, PARMA, OH 44129-5705
(440) 842-8675
(440) 842-1299
Mailing address
27565 REMINGTON CIR, WESTLAKE, OH 44145-2139
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
CNP.022477
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP.022477
OHIO LICENSE
OH
Enumeration date
08/21/2018
Last updated
08/21/2018
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