Dawson, Jack
Dawson, Jack is an sole proprietor health care provider with primary practice located at 8423 Market St Ste 207 , Boardman OH 44512-6778. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Dawson, Jack can be contacted via phone (330) 965-5490.Contact Information
Primary practice address
8423 Market St Ste 207
Boardman OH 44512-6778
Phone: (330) 965-5490
Fax: (330) 965-5491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0102207240 | Virginia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 34.015892 | Ohio |
Profile Details
| NPI number | 1528506607 |
|---|---|
| LBN Legal business name | Dawson, Jack |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2017 |
| Last updated | Sep 19th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528506607 | NPPES |
| Ohio | MEDICAID | 0230609 |
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