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Contact Information

ERIC A GIETZEN
93 ROLLING PARK DR N
MASSILLON, OH44647-5196
 Phone: 330-617-7598
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ERIC A GIETZEN · (Male)

NPI Number 1225554348
Status Active
Credentials
Entity Individual
Enumeration date 08/21/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OH Medicaid 475186391
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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