Mitchkash, Matthew George

Mitchkash, Matthew George is an sole proprietor health care provider with primary practice located at 9500 Euclid Ave , Cleveland OH 44195-3109. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mitchkash, Matthew George can be contacted via phone (216) 444-2200.

Contact Information

Primary practice address
9500 Euclid Ave Cleveland OH 44195-3109
Phone: (216) 444-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 35.142728 Ohio

Profile Details

NPI number 1487001566
LBN Legal business name Mitchkash, Matthew George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2016
Last updated Jul 12th, 2021 - about 3 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 1487001566 NPPES
Massachusetts Other 270535 CERTIFICATE OF LIMITED REGISTRATION

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