Jackson, Derrick O'Neal

Jackson, Derrick O'Neal is an individual health care provider with primary practice located at 420 Oak Hill Avenue , Youngstown OH 44502-1415. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Jackson, Derrick O'Neal can be contacted via phone (330) 870-3900.

Contact Information

Primary practice address
420 Oak Hill Avenue Youngstown OH 44502-1415
Phone: (330) 870-3900
Fax: (330) 870-3901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 30003456 Ohio
Podiatric Medicine & Surgery Service Providers / Radiology 213ER0200X 36003456 Ohio
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36003456 Ohio

Profile Details

NPI number 1518080811
LBN Legal business name Jackson, Derrick O'Neal
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Apr 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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