Richard John Dirks
Technician, Personal Care Attendant in Granville, OH. Individual provider (NPI-1).
NPI number1114792249
StatusActive
Last updated in NPPESNov 20, 2023
Details
- NPI
- 1114792249
- Entity type
- Individual (NPI-1)
- Name
- Mr. Richard John Dirks
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2023
- Certification date
- Nov 18, 2023
- Last updated
- Nov 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
32 Granview XingGranville, OH 43023-8031
Phone 740-920-4517
Mailing address
32 Granview XingGranville, OH 43023-8031
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