Pawlicki, Matthew Bernard
Pawlicki, Matthew Bernard is an individual health care provider with primary practice located at 100 Seventh Ave Ste 111 , Chardon OH 44024-7802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pawlicki, Matthew Bernard can be contacted via phone (440) 286-8841.Contact Information
Primary practice address
100 Seventh Ave Ste 111
Chardon OH 44024-7802
Phone: (440) 286-8841
Fax: (440) 286-8867
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35-839943 | Ohio |
Profile Details
| NPI number | 1619978384 |
|---|---|
| LBN Legal business name | Pawlicki, Matthew Bernard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Dec 30th, 2020 - about 4 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 | 1619978384 | NPPES |
| Ohio | MEDICAID | 2499872 | |
| Ohio | Other | 83994 |
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