Gedeon, Michael R

Gedeon, Michael R is an individual health care provider with primary practice located at 150 Springside Dr Ste 320C , Fairlawn OH 44333-2486. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gedeon, Michael R can be contacted via phone (330) 376-1071.

Contact Information

Primary practice address
150 Springside Dr Ste 320C Fairlawn OH 44333-2486
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35055402 Ohio

Profile Details

NPI number 1720088859
LBN Legal business name Gedeon, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jul 30th, 2019 - about 6 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 1720088859 NPPES
Ohio Other 2220539 AETNA
Ohio Other 000000130500 AETNA
Ohio Other 110035989 AETNA
Ohio Other 0402221 AETNA
Ohio MEDICAID 0726772 AETNA
Ohio Other 341330708 AETNA

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