Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Robert Blank, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619618907

Jacob Robert Blank, DO is a Student in an Organized Health Care Education/Training Program in Cleveland, Ohio. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone: (216) 844-3722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1619618907
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 2, 2022
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address11100 Euclid Ave, Cleveland, OH 44106-1716

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