Healthcare Provider Details

I. General information

NPI: 1366670531
Provider Name (Legal Business Name): JENNIFER CHRISTINE DROST D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2009
Last Update Date: 11/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 ARCH ST STE G2
AKRON OH
44304-1430
US

IV. Provider business mailing address

75 ARCH ST STE G2
AKRON OH
44304-1430
US

V. Phone/Fax

Practice location:
  • Phone: 330-375-3315
  • Fax: 330-375-7779
Mailing address:
  • Phone: 330-375-3315
  • Fax: 330-375-7779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number011313
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number011313
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number011313
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: