NPI 1194406785

Jeff Panik

Practitioner Prevention Professional Cleveland, OH

Practice location

Address: 3631 Perkins Ave STE 2aw, Cleveland, OH 44114-4702
Phone: (216) 881-0330

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence OCPSA.161672 (OH)

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Registry record

NPI: 1194406785
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jul 2023
Record last updated: 27 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.