Cleveland, Maryjo
Cleveland, Maryjo is an individual health care provider with primary practice located at 75 Arch St Suite G2, Akron OH 44304-1429. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Cleveland, Maryjo can be contacted via phone (330) 375-4100.Contact Information
Primary practice address
75 Arch St Suite G2
Akron OH 44304-1429
Phone: (330) 375-4100
Fax: (330) 375-4097
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 35-057104 | Ohio |
Profile Details
NPI number | 1598724148 |
---|---|
LBN Legal business name | Cleveland, Maryjo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 22nd, 2006 |
Last updated | Dec 4th, 2012 - about 12 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 | 1598724148 | NPPES |
Ohio | MEDICAID | 0893565 |
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