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Individual

JACK EVERETT HAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
530 S MAIN ST, OBERLIN, OH 44074-1743
(440) 707-6247
(888) 450-1239
Mailing address
530 S MAIN ST, OBERLIN, OH 44074-1743
(440) 707-6247
(888) 450-1239

Taxonomy

Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
34008419
OH
207P00000X
Emergency Medicine Physician
34008419
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2612908
OH
Enumeration date
12/29/2005
Last updated
06/05/2025
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