Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL JACK, D.P.M.
ActiveDR. MICHAEL JACK, D.P.M. is a Podiatrist healthcare provider located in KENT, Ohio. NPI 1780080812 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · KENT, OH
Registration Details
- NPI Number
- 1780080812
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2014 (11.729106143162 yrs)
- Last Updated
- Aug 20, 2020
- License
-
36.003804 (OH)
Practice Information
- Address
-
1930 STATE ROUTE 59KENT, OH, 442404112Browse OH providers · Browse ZIP 44240
- Phone
- 3306733505
- Fax
- 3306734888
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in KENT, OH
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES E BENEDICT | D.P.M. | 1639160666 |
| DR. HAI T PHAM | D.P.M. | 1659359768 |
| DR. JENNIFER M FATH | DPM | 1427082551 |
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.