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Contact Information

JOSEPH G JACKO, MD
4885 OLENTANGY RIVER RD
SUITE 2-50
COLUMBUS, OH43214-1952
 Phone: 614-451-1551
 Fax: 614-451-2326
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOSEPH G JACKO · (Male)

NPI Number 1730185844
Status Active
Credentials MD
Entity Individual
Enumeration date 06/23/2005
Last updated 07/30/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 35.055488
  • OH Medicaid 0070272
Hospital affiliation(s)
  • OHIO STATE UNIVERSITY HOSPITALS - (Acute Care)
    410 WEST 10TH AVENUE
    COLUMBUS, OH 43210
  • RIVERSIDE METHODIST HOSPITAL - (Acute Care)
    3535 OLENTANGY RIVER RD
    COLUMBUS, OH 43214
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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