Wayne Paul Jackman
Dentist - General Practice
444 S Meridian St
Ravena
, Ohio 44233
Wayne Paul Jackman
Dentist - General Practice
444 S Meridian St
Ravena
, Ohio 44233
(330) 297-5803
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Wayne Paul Jackman
- 444 S Meridian St
- Ravenna, OH
- Zip : 44266
- Fax : (330) 297-5803
- Phone : (330) 297-6216
Second Address
- Wayne Paul Jackman
- 444 S Meridian St
- Ravena, OH
- Zip : 44233
- Phone : (330) 297-6216
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 019126 | OH |
| Y | 213EG0000X | General Practice | 019126 | OH |
National Provider Identifier
| NPI | 1003071697 |
|---|---|
| Provider Name | Wayne Paul Jackman |
| First Address | Ravenna, OH 44266 |
| Second Address | Ravena, OH 44233 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/07/2008 |
| Last Update Date | 23/07/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.