Blazek, Matthew C.
Blazek, Matthew C. is an sole proprietor health care provider with primary practice located at 29257 Center Ridge Rd , Westlake OH 44145-5224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blazek, Matthew C. can be contacted via phone (440) 899-7677.Contact Information
Primary practice address
29257 Center Ridge Rd
Westlake OH 44145-5224
Phone: (440) 899-7677
Fax: (440) 899-7667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 48402 | Ohio |
Profile Details
| NPI number | 1053317248 |
|---|---|
| LBN Legal business name | Blazek, Matthew C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Sep 18th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053317248 | NPPES |
| Ohio | MEDICAID | 0512850 |
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