Jacob Allen Shattuck Sr.
Jacob Allen Shattuck Sr. is a Peer Specialist in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2026
Practice location Address checks out
211 S 5th StColumbus, OH 43215-5203
Phone: (614) 567-6274
Fax: (855) 604-0927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence PRS.007652 (OH) |
|---|
Record details
| NPI number | 1619818333 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 6, 2026 |
| Last updated in NPPES | April 14, 2026 |
| Certification date | April 14, 2026 |
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