T Matthew Mak Md Inc

LBN: T Matthew Mak Md Inc
T Matthew Mak Md Inc is an health care organization with primary practice located at 2728 Lake Ave , Ashtabula OH 44004-4960. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. T Matthew Mak Md Inc can be contacted via phone (440) 992-7788, or through Mak, T. Matthew via phone (440) 992-7788.

Contact Information

Primary practice address
2728 Lake Ave Ashtabula OH 44004-4960
Phone: (440) 992-7788
Fax: (440) 998-0388
Website:
Map and Directions
Authorized official contact:
Name: Mak, T. Matthew Doctor of Medicine (MD)
Phone: (440) 992-7788

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35044839 Ohio

Profile Details

NPI number 1518105345
LBN Legal business name T Matthew Mak Md Inc
DBA Doing business as
Authorized official Mak, T. Matthew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2009
Last updated Feb 4th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518105345 NPPES
Ohio MEDICAID 0442444

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