Salata, Michael Jonathan

Salata, Michael Jonathan is an individual health care provider with primary practice located at 11100 Euclid Avenue Third Floor, Cleveland OH 44106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Salata, Michael Jonathan can be contacted via phone (216) 844-7200.

Contact Information

Primary practice address
11100 Euclid Avenue Third Floor Cleveland OH 44106
Phone: (216) 844-7200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036123170 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 35.095437 Ohio

Profile Details

NPI number 1972728400
LBN Legal business name Salata, Michael Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jan 13th, 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 1972728400 NPPES
Ohio MEDICAID 3071974
Ohio Other 9980399
Ohio Other 000000313137
Ohio MEDICAID 1025613910001
Ohio Other 1633878
Ohio Other 561814
Ohio Other P00891147
Ohio Other 2048816199CS

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