Minarik, Matthew

Minarik, Matthew is an individual health care provider with primary practice located at 7750 Town Centre Dr Ste 300 , Broadview Heights OH 44147-4040. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Minarik, Matthew can be contacted via phone (877) 283-8863.

Contact Information

Primary practice address
7750 Town Centre Dr Ste 300 Broadview Heights OH 44147-4040
Phone: (877) 283-8863
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA056138 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601006700 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601006700 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.004059 Ohio

Profile Details

NPI number 1003245341
LBN Legal business name Minarik, Matthew
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2013
Last updated Nov 16th, 2016 - about 8 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 1003245341 NPPES
Ohio MEDICAID 0112106

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