Skoda, Michael J
Skoda, Michael J is an sole proprietor health care provider with primary practice located at 7750 Town Centre Dr Ste 600 , Broadview Heights OH 44147-4052. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Skoda, Michael J can be contacted via phone (440) 547-8200.Contact Information
Primary practice address
7750 Town Centre Dr Ste 600
Broadview Heights OH 44147-4052
Phone: (440) 547-8200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LICDC.141063 | Ohio |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | E.1000455-SUPV | Ohio |
Profile Details
| NPI number | 1891092128 |
|---|---|
| LBN Legal business name | Skoda, Michael J |
| Credentials | LPCC-S, LICDC, SAP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2011 |
| Last updated | Apr 8th, 2026 - about 7 months 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 | 1891092128 | NPPES |
| Ohio | MEDICAID | 0206683 |
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