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

Matthew Jacques

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174371421

Matthew Jacques is a Student in an Organized Health Care Education/Training Program in Dover, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

201 Hospital Dr
Dover, OH 44622-2058
Phone: (330) 365-1781
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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 number1174371421
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 10, 2024
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024
Mailing address201 Hospital Dr, Dover, OH 44622-2058

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