Degeorgia, Michael A

Degeorgia, Michael A is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Degeorgia, Michael A can be contacted via phone (216) 986-1256.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 986-1256
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35077420D Ohio

Profile Details

NPI number 1053425983
LBN Legal business name Degeorgia, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated May 12th, 2014 - about 11 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 1053425983 NPPES
Ohio Other 000000225045 UNISON
Ohio MEDICAID 1053425983 UNISON
Ohio Other 000000532719 UNISON
Ohio Other 7350024 UNISON
Ohio Other 414959 UNISON
Ohio MEDICAID 2146252 UNISON
Ohio Other 737176 UNISON
Ohio Other P00440902 UNISON

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