Matiscik, R. Martin

Matiscik, R. Martin is an individual health care provider with primary practice located at 914 Trailwood Dr , Boardman OH 44512-5007. He recently has only one registered license in Chiropractic Providers / Radiology, which is considered as his primary health care specialty. Matiscik, R. Martin can be contacted via phone (330) 758-6440.

Contact Information

Primary practice address
914 Trailwood Dr Boardman OH 44512-5007
Phone: (330) 758-6440
Fax: (330) 758-6990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Radiology 111NR0200X 2192 Ohio

Profile Details

NPI number 1255402277
LBN Legal business name Matiscik, R. Martin
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - about 19 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 1255402277 NPPES
Ohio MEDICAID 0190270
Ohio Other 000000229020
Ohio Other 268261599010
Ohio Other 000000350553

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