Jaffe, Jack Walter
Jaffe, Jack Walter is an sole proprietor health care provider with primary practice located at 44 Lyman Cir , Shaker Heights OH 44122-2116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Jaffe, Jack Walter can be contacted via phone (216) 464-4430.Contact Information
Primary practice address
44 Lyman Cir
Shaker Heights OH 44122-2116
Phone: (216) 464-4430
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 35 025358 | Ohio |
Profile Details
| NPI number | 1053478453 |
|---|---|
| LBN Legal business name | Jaffe, Jack Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1053478453 | NPPES |
| Ohio | Other | 35 025358 | STATE LICENSE |
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