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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN BENJAMIN MACKNIN, MD

Active Sole Proprietor

JONATHAN BENJAMIN MACKNIN, MD is a Orthopaedic Surgery of the Spine healthcare provider located in CHARDON, Ohio. NPI 1740442730 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery of the Spine · CHARDON, OH

Registration Details

NPI Number
1740442730
Provider Type
Individual
Gender
Male
NPI Issued
Jun 30, 2008 (18.169686365579 yrs)
Last Updated
Jan 11, 2021
Licenses
35.135189 (OH)
35.135189 (OH)
Sole Proprietor
Yes

Practice Information

Address
13207 RAVENNA RD
CHARDON, OH, 440247032
Browse OH providers · Browse ZIP 44024
Phone
4402855004
Fax
4402856985
Primary Specialty
Orthopaedic Surgery of the Spine
207XS0106X
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.