Macknin, Michael Larry

Macknin, Michael Larry is an individual health care provider with primary practice located at 9500 Euclid Ave , Cleveland OH 44195-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Macknin, Michael Larry can be contacted via phone (800) 223-2273.

Contact Information

Primary practice address
9500 Euclid Ave Cleveland OH 44195-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35045340M Ohio

Profile Details

NPI number 1891759544
LBN Legal business name Macknin, Michael Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jun 8th, 2010 - about 14 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 1891759544 NPPES
Ohio MEDICAID 0438280

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