Search › Ohio › 251C00000X
Jeffrey Derthick
NPI 1073312591 · on the registry since 2025 · sole proprietor
Practice
- Address
- 6470 Streeter Rd
Mantua, OH 44255 - Phone
- (330) 221-1046
Registry record
- Primary taxonomy
- 251C00000X
251C00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio