Mcdermott, Jack Robert

Mcdermott, Jack Robert is an individual health care provider with primary practice located at 4439 State Route 159 Ste 280 , Chillicothe OH 45601-7502. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Mcdermott, Jack Robert can be contacted via phone (740) 779-7050.

Contact Information

Primary practice address
4439 State Route 159 Ste 280 Chillicothe OH 45601-7502
Phone: (740) 779-7050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3416 Ohio
Chiropractic Providers / Chiropractor 111N00000X 4768 Kentucky
Chiropractic Providers / Chiropractor 111N00000X 971 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 14318 Ohio

Profile Details

NPI number 1588663033
LBN Legal business name Mcdermott, Jack Robert
Credentials D.C., FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Dec 28th, 2020 - about 5 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 1588663033 NPPES
Ohio Other COA.14318-NP STATE OF OHIO LICENSE

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