Christian, Michael O

Christian, Michael O is an individual health care provider with primary practice located at 6780 Mayfield Rd , Mayfield Hts OH 44124-2203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Christian, Michael O can be contacted via phone (440) 312-4264.

Contact Information

Primary practice address
6780 Mayfield Rd Mayfield Hts OH 44124-2203
Phone: (440) 312-4264
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35047255 Ohio

Profile Details

NPI number 1770515348
LBN Legal business name Christian, Michael O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jul 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770515348 NPPES
Ohio Other 000000029179 ANTHEM INDIVIDUAL ID
Ohio MEDICAID 0798445 ANTHEM INDIVIDUAL ID
Ohio MEDICAID 0711493 ANTHEM INDIVIDUAL ID

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