Organization
JLH CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN HAIMES (OWNER)
(740) 601-6071
Entity
Organization
Contact information
Practice address
5925 CLEVELAND AVE, COLUMBUS, OH 43231-2208
(740) 601-6071
Mailing address
5925 CLEVELAND AVE, COLUMBUS, OH 43231-2208
(740) 601-6071
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
35066575
CO
Other
Enumeration date
08/20/2015
Last updated
01/07/2016
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