Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Zachary Grant Gholson

Individual provider Community Health Worker · NPI 1366896821

Zachary Grant Gholson is a Community Health Worker in Lakewood, Ohio. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

17920 Detroit Ave Apt 311
Lakewood, OH 44107-3438
Phone: (216) 860-7573
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Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1366896821
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2016
Last updated in NPPESApril 20, 2016
Mailing address17920 Detroit Ave Apt 311, Lakewood, OH 44107-3438

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