Wayne, Matthew Stevenson

Wayne, Matthew Stevenson is an individual health care provider with primary practice located at 12200 Fairhill Rd , Cleveland OH 44120-1058. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Wayne, Matthew Stevenson can be contacted via phone (216) 844-6300.

Contact Information

Primary practice address
12200 Fairhill Rd Cleveland OH 44120-1058
Phone: (216) 844-6300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-069734 Ohio
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 35-069734 Ohio

Profile Details

NPI number 1508845207
LBN Legal business name Wayne, Matthew Stevenson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Dec 5th, 2008 - about 18 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 1508845207 NPPES
Ohio Other P00402008 MEDICARE RAILROAD
Ohio MEDICAID 2073672 MEDICARE RAILROAD
Ohio Other 414697 MEDICARE RAILROAD
Ohio Other 000000524532 MEDICARE RAILROAD
Ohio Other 751025 MEDICARE RAILROAD
Ohio Other 000000221142 MEDICARE RAILROAD
Ohio MEDICAID 2063672 MEDICARE RAILROAD
Ohio Other 5496574 MEDICARE RAILROAD

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