Healthcare Provider Details

I. General information

NPI: 1306807961
Provider Name (Legal Business Name): FRANKLIN COUNTY FOOT & ANKLE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1905 MARKET SQUARE BLVD
WAYNESBORO PA
17268-3811
US

IV. Provider business mailing address

1905 MARKET SQUARE BLVD
WAYNESBORO PA
17268-3811
US

V. Phone/Fax

Practice location:
  • Phone: 717-762-6300
  • Fax: 717-762-1831
Mailing address:
  • Phone: 717-762-6300
  • Fax: 717-762-1831

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number StatePA

VIII. Authorized Official

Name: DR. JOHN S JACKO
Title or Position: OWNER
Credential: D.P.M.
Phone: 717-762-6300