Individual
JACOB GOLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 E MARKET ST, AKRON, OH 44304
(419) 601-0172
Mailing address
525 E MARKET ST, AKRON, OH 44304-1619
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.129195
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57.026588
STATE BOARD TRAINING LICENSE
OH
Enumeration date
03/24/2015
Last updated
07/31/2018
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