Masyk, Tatiana

Masyk, Tatiana is an individual health care provider with primary practice located at 6480 Rockside Woods Blvd S Ste 330 , Independence OH 44131-2222. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Masyk, Tatiana can be contacted via phone (567) 316-6755.

Contact Information

Primary practice address
6480 Rockside Woods Blvd S Ste 330 Independence OH 44131-2222
Phone: (567) 316-6755
Fax: (216) 238-9526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.072419 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301069338 Michigan

Profile Details

NPI number 1184624934
LBN Legal business name Masyk, Tatiana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Aug 4th, 2023 - about 2 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 1184624934 NPPES
Ohio MEDICAID 2722265
Ohio MEDICAID 4917088
Ohio Other 6088
Ohio Other 0804610531
Ohio Other 03605
Ohio Other 117183
Ohio Other 117183
Ohio Other 5418586
Ohio Other P00343617
Ohio Other 000000491867
Ohio MEDICAID 4623463

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