Matos, Estanislao Antonio
Matos, Estanislao Antonio is an individual health care provider with primary practice located at 20 Olive St Ste 401, Akron OH 44310-3194. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Matos, Estanislao Antonio can be contacted via phone (330) 376-3105.Contact Information
Primary practice address
20 Olive St Ste 401
Akron OH 44310-3194
Phone: (330) 376-3105
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35029796M | Ohio |
Profile Details
| NPI number | 1861472581 |
|---|---|
| LBN Legal business name | Matos, Estanislao Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Apr 21st, 2011 - about 15 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 | 1861472581 | NPPES |
| Ohio | MEDICAID | 0060437 |
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