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
Fax: (330) 375-4097
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598724148 NPPES
Ohio MEDICAID 0893565

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