Jacko, Joseph G

Jacko, Joseph G is an sole proprietor health care provider with primary practice located at 4885 Olentangy River Rd Suite 2-50, Columbus OH 43214-1952. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jacko, Joseph G can be contacted via phone (614) 451-1551.

Contact Information

Primary practice address
4885 Olentangy River Rd Suite 2-50 Columbus OH 43214-1952
Phone: (614) 451-1551
Fax: (614) 451-2326
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.055488 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 35.055488 Ohio

Profile Details

NPI number 1730185844
LBN Legal business name Jacko, Joseph G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated Jul 30th, 2013 - about 13 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 1730185844 NPPES
Ohio MEDICAID 0070272

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