Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEVEN PETER JACKSON, D.O.
ActiveFamily Medicine · MARBLEHEAD, OH
Registration Details
- NPI Number
- 1265527865
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.610893937755 yrs)
- Last Updated
- Jul 8, 2007
- License
-
34-004104 (OH)
Practice Information
- Address
-
1297 W MAIN STMARBLEHEAD, OH, 43440Browse OH providers · Browse ZIP 43440
- Phone
- 4197984418
- Fax
- 4197984442
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.