Jack, Melinda Kristine

Jack, Melinda Kristine is an individual health care provider with primary practice located at 5965 E Broad St Suite 120, Columbus OH 43213-1562. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Jack, Melinda Kristine can be contacted via phone (614) 864-1000.

Contact Information

Primary practice address
5965 E Broad St Suite 120 Columbus OH 43213-1562
Phone: (614) 864-1000
Fax: (614) 864-1444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35088654 Ohio
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 35-088654 Ohio

Profile Details

NPI number 1760543177
LBN Legal business name Jack, Melinda Kristine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jan 5th, 2022 - about 3 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.

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