Individual
JARROD EASTEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3700 KOLBE RD, LORAIN, OH 44053-1611
(440) 366-2239
(440) 365-1366
Mailing address
PO BOX 636643, CINCINNATI, OH 45263-6646
(440) 989-3801
(440) 960-0263
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1115256
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3025372
—
OH
Enumeration date
01/20/2014
Last updated
01/15/2021
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