Telego, Jacob

Telego, Jacob is an individual health care provider with primary practice located at 8440 Market St , Boardman OH 44512-6702. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Telego, Jacob can be contacted via phone (330) 965-9999.

Contact Information

Primary practice address
8440 Market St Boardman OH 44512-6702
Phone: (330) 965-9999
Fax: (330) 757-0000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C.1300359 Ohio

Profile Details

NPI number 1154712693
LBN Legal business name Telego, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2015
Last updated Mar 5th, 2019 - about 7 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 1154712693 NPPES
Ohio MEDICAID 3033390

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