Provider Demographics
NPI:1144817503
Name:ROZHON, HENRY
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:
Last Name:ROZHON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4181 KELLER HANNA DR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-2726
Mailing Address - Country:US
Mailing Address - Phone:440-668-5684
Mailing Address - Fax:
Practice Address - Street 1:4181 KELLER HANNA DR
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:OH
Practice Address - Zip Code:44212-2726
Practice Address - Country:US
Practice Address - Phone:440-668-5684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker