Search › Ohio › 104100000X
John Jackson
NPI 1275006470 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1989 W Broad St
Columbus, OH 43223 - Phone
- (614) 278-0170
- Fax
- (614) 278-7578
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio