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Contact Information

JACKSON PODIATRY, INC
1201 BELMONT AVE
YOUNGSTOWN, OH44504
 Phone: 330-333-3365
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JACKSON PODIATRY INC · (Female)

NPI Number 1306041744
Status Active
Credentials
Entity Individual
Enumeration date 06/16/2007
Last updated 12/28/2018 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH License # 36003456
  • OH Medicaid 2736098
Hospital affiliation(s) Not Available
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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