Organization
JACKSON SURGICAL ASSISTANTS, LLC
Active
Parent organization
JACKSON SURGICAL ASSISTANTS, LLC
Other names
JSA of Ohio
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON SURGICAL ASSISTANTS, LLC
Authorized official
ANN H SCHAKER (BILLING DIRECTOR)
(678) 983-4479
Entity
Organization
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(678) 983-4479
Mailing address
PO BOX 543, ALPHARETTA, GA 30009-0543
(678) 983-4479
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
—
—
208600000X
Surgery Physician
Primary
35.027433
OH
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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