Individual
DR. JACK GORDON JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
1660 AKRON PENINSULA RD, SUITE 101, AKRON, OH 44313-5189
(330) 920-1660
(330) 920-1373
Mailing address
1660 AKRON PENINSULA RD, SUITE 101, AKRON, OH 44313-5189
(330) 920-1660
(330) 920-1373
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
38061
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34 1256234-00
OH. BUREAU OF WORKER'S CO
OH
01
—
34 1256234-0001
COMMUNITY MUTUAL BCBS
OH
01
—
341256234-001
BCBS OF OHIO
OH
01
—
JO 0451356
MEDICARE PROVIDER NUMBER
OH
Enumeration date
12/04/2006
Last updated
03/07/2023
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