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Joseph Ramon Zrucky

Student in an Organized Health Care Education/Training Program

Student, Health Care

19555 N 59th Ave, Glendale, AZ 85308-6813

PECOS Enrollment

This provider is enrolled in PECOS as JOSEPH ZRUCKY.

Based on the most recent information from CMS, provider Joseph Ramon Zrucky is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1194419457
Provider Type
Individual
Full Name
Zrucky, Joseph Ramon
Title
Mr.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/7/2023
Last Updated
3/19/2024

Contact Information

Practice Location

19555 N 59th Ave, Glendale, AZ 85308-6813

(612) 437-6189

Unlisted Fax

Mailing Location

1601 E 19th Ave Ste 5300, Denver, CO 80218-1229

(822) 413-9725

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Joseph Ramon Zrucky

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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