Jackson, Ekaete

Jackson, Ekaete is an individual health care provider with primary practice located at 754 S Cleveland Ave #300, Mogadore OH 44260-2200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jackson, Ekaete can be contacted via phone (330) 628-2686.

Contact Information

Primary practice address
754 S Cleveland Ave #300 Mogadore OH 44260-2200
Phone: (330) 628-2686
Fax: (330) 628-0828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35-123871 Ohio

Profile Details

NPI number 1437382306
LBN Legal business name Jackson, Ekaete
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2009
Last updated Dec 4th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437382306 NPPES
Ohio MEDICAID 0104794
Ohio Other 9338635
Ohio Other 1841239274
Ohio Other 2551671

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