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NPI Code Detail

MEDICARE: JASON PATRICK LINKIEWICZ

MEDICARE: JASON PATRICK LINKIEWICZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistOH

General Provider Information

NPI Number : 1215509997
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON PATRICK LINKIEWICZ
Provider Business Mailing Address
First Line : 4214 E MAIN ST
Second Line :
City : WHITEHALL
State : OH
Zip : 43213-3028
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4177 E BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-1217
Country : US
Telephone Number : 614-697-1313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2021
Last Update Date : 07/13/2021

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Directions to “ JASON PATRICK LINKIEWICZ ” Practice Location

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