Individual
DR. JASON TODD BAKICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
515 UNION AVE, SUITE 147, DOVER, OH 44622-3004
(330) 339-6233
(330) 364-8460
Mailing address
515 UNION AVE, SUITE 147, DOVER, OH 44622-3004
(330) 339-6233
(330) 364-8460
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003043
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2251290
—
OH
01
—
480034101
RAILROAD MEDICARE
OH
Enumeration date
01/03/2006
Last updated
09/07/2011
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