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Dr. Jacob Goatley, MD
Student in an Organized Health Care Education/Training Program in Toledo, Ohio
NPI 1235753518

Jacob Goatley is a Student in an Organized Health Care Education/Training Program based in Toledo, OH. Jacob Goatley practices in Toledo, OH and has the professional credentials of MD. The NPI Number for Jacob Goatley is 1235753518 and holds a License No. 57.249415 (Ohio).

The current practice location address for Jacob Goatley is 2100 W Central Ave Fl 2, Toledo, OH and can be reached out via phone at 567-420-1613.

Location: 2100 W Central Ave Fl 2, Toledo, OH, 43606-3800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235753518
Provider Name
Jacob Goatley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2100 W Central Ave Fl 2, Toledo, OH, 43606-3800
Phone Number
567-420-1613
Fax Number
Provider Enumeration Date
06/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2100 W Central Ave Fl 2
City
Toledo
State
Ohio
Zip
43606-3800
Phone Number
567-420-1613
Fax Number
person
Provider Business Mailing Address Details
Address
2100 W Central Ave Fl 2
City
Toledo
State
Ohio
Zip
43606-3800
Phone Number
567-420-1613
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
57.249415 (Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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