Organization
JACKOSKY HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE JACKOSKY M.D. (OWNER)
(440) 250-2130
Entity
Organization
Contact information
Practice address
30400 DETROIT RD STE 404, WESTLAKE, OH 44145-1855
(440) 250-2130
(440) 250-2140
Mailing address
30400 DETROIT RD STE 404, WESTLAKE, OH 44145-1855
(440) 250-2130
(440) 250-2140
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35075326
OH
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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