Cratsley, Michael Theodore

Cratsley, Michael Theodore is an individual health care provider with primary practice located at 8423 Market St Ste 207 , Boardman OH 44512-6778. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Cratsley, Michael Theodore can be contacted via phone (330) 965-5490.

Contact Information

Primary practice address
8423 Market St Ste 207 Boardman OH 44512-6778
Phone: (330) 965-5490
Fax: (330) 965-5491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.137004 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 35.137004 Ohio

Profile Details

NPI number 1154858785
LBN Legal business name Cratsley, Michael Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2017
Last updated Dec 11th, 2023 - about last year

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 1154858785 NPPES
Ohio MEDICAID 0224141

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