SearchOhio3747P1801X

Michael Jackson

NPI 1407647977 · on the registry since 2025 · sole proprietor

Practice

Address
1258 Delos St
Akron, OH 44306
Phone
(330) 634-3575
Fax
(330) 634-3575

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-14

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