Maiteh, Mamon Y
Maiteh, Mamon Y is an individual health care provider with primary practice located at 4235 Secor Rd , Toledo OH 43623-4231. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Maiteh, Mamon Y can be contacted via phone (419) 479-5560.Contact Information
Primary practice address
4235 Secor Rd
Toledo OH 43623-4231
Phone: (419) 479-5560
Fax: (419) 473-2065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301079222 | Michigan |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2007001624 | Missouri |
Profile Details
| NPI number | 1699747899 |
|---|---|
| LBN Legal business name | Maiteh, Mamon Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Sep 15th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699747899 | NPPES |
| Michigan | MEDICAID | 4746015 |
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