Individual
JACOB ALLEN SHATTUCK SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 S 5TH ST, COLUMBUS, OH 43215-5203
(614) 567-6274
(855) 604-0927
Mailing address
211 S 5TH ST, COLUMBUS, OH 43215-5203
(614) 567-6274
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
PRS.007652
OH
Other
Enumeration date
04/06/2026
Last updated
04/14/2026
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