Buell, Jackie L

Buell, Jackie L is an individual health care provider with primary practice located at 2050 Kenny Rd Sports Medicine, Gymnasium Space Exam Rm 1, Columbus OH 43221-3502. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Buell, Jackie L can be contacted via phone (614) 293-3600.

Contact Information

Primary practice address
2050 Kenny Rd Sports Medicine, Gymnasium Space Exam Rm 1 Columbus OH 43221-3502
Phone: (614) 293-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT000022 Ohio
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD.5999 Ohio

Profile Details

NPI number 1992917694
LBN Legal business name Buell, Jackie L
Credentials PHD,RD, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jul 17th, 2015 - about 11 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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