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Search › Ohio › 101YP2500X

Shane Jacobs

NPI 1770300634 · on the registry since 2024 · sole proprietor

Practice

Address
245 N Grant Ave
Columbus, OH 43215
Phone
(614) 224-6617
Fax
(855) 208-4527
Organisation at this address
Faith Mission Inc.
Lutheran Social Services Of Central Ohio
Lutheran Social Services Of Central Ohio Inc
Lutheran Social Services Of Central Ohio, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YA0400X
101YS0200X
101Y00000X
101YM0800X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-25

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