Jones, Jack Gordon

Jones, Jack Gordon is an sole proprietor health care provider with primary practice located at 1660 Akron Peninsula Rd Suite 101, Akron OH 44313-5189. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Jones, Jack Gordon can be contacted via phone (330) 920-1660.

Contact Information

Primary practice address
1660 Akron Peninsula Rd Suite 101 Akron OH 44313-5189
Phone: (330) 920-1660
Fax: (330) 920-1373
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 38061 Ohio

Profile Details

NPI number 1235297466
LBN Legal business name Jones, Jack Gordon
Credentials MEDICAL DOCTOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Mar 7th, 2023 - about 2 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 1235297466 NPPES
Ohio Other JO 0451356 MEDICARE PROVIDER NUMBER
Ohio Other 34 1256234-00 MEDICARE PROVIDER NUMBER
Ohio Other 34 1256234-0001 MEDICARE PROVIDER NUMBER
Ohio Other 341256234-001 MEDICARE PROVIDER NUMBER

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