Individual
MR. JACOB D CLICK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
2600 6TH ST SW, CANTON, OH 44710-1702
(330) 363-7462
(330) 363-7679
Mailing address
PO BOX 80690, CANTON, OH 44708-0690
(330) 363-7444
(330) 363-7770
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.07141
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2359059
—
OH
Enumeration date
08/11/2005
Last updated
02/13/2025
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