Jacko, Joseph G
Jacko, Joseph G is an sole proprietor health care provider with primary practice located at 4885 Olentangy River Rd Suite 2-50, Columbus OH 43214-1952. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jacko, Joseph G can be contacted via phone (614) 451-1551.Contact Information
Primary practice address
4885 Olentangy River Rd Suite 2-50
Columbus OH 43214-1952
Phone: (614) 451-1551
Fax: (614) 451-2326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35.055488 | Ohio |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207RS0010X | 35.055488 | Ohio |
Profile Details
| NPI number | 1730185844 |
|---|---|
| LBN Legal business name | Jacko, Joseph G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jul 30th, 2013 - about 11 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 | 1730185844 | NPPES |
| Ohio | MEDICAID | 0070272 |
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