Tatka, Jason R

Tatka, Jason R is an individual health care provider with primary practice located at 6847 N Chestnut St , Ravenna OH 44266-3929. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Tatka, Jason R can be contacted via phone (216) 286-1855.

Contact Information

Primary practice address
6847 N Chestnut St Ravenna OH 44266-3929
Phone: (216) 286-1855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 02003058 Indiana
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X OS010665L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS010665L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34-012050 Ohio

Profile Details

NPI number 1285648477
LBN Legal business name Tatka, Jason R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Feb 24th, 2016 - about 9 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 1285648477 NPPES
Indiana MEDICAID 200476730
Indiana MEDICAID 2821398

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