Stevens, Jack H

Stevens, Jack H is an individual health care provider with primary practice located at 700 Children'S Drive J West 4Th Floor Nationwide Children'S Hospital, Columbus OH 43205-2664. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Stevens, Jack H can be contacted via phone (614) 722-4700.

Contact Information

Primary practice address
700 Children'S Drive J West 4Th Floor Nationwide Children'S Hospital Columbus OH 43205-2664
Phone: (614) 722-4700
Fax: (614) 722-4718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 5848 Ohio

Profile Details

NPI number 1346372778
LBN Legal business name Stevens, Jack H
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Apr 5th, 2022 - about 4 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 1346372778 NPPES
Ohio MEDICAID 1473276

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