Individual
JEFFREY S THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6847 N CHESTNUT ST STE 105, RAVENNA, OH 44266-3929
(330) 297-6030
(330) 974-9192
Mailing address
6847 N CHESTNUT ST STE 105, RAVENNA, OH 44266-3929
(330) 297-6030
(330) 297-4919
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
34005397
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0237121
—
OH
Enumeration date
12/10/2005
Last updated
12/17/2020
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