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NPI Code Detail

MEDICARE: MR. MICHAEL F ZOFCIN SLP

MEDICARE: MR. MICHAEL F ZOFCIN SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP-2928OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ZO4270561OTHEROHMEDICARE PTAN

General Provider Information

NPI Number : 1578582920
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL F ZOFCIN SLP
Provider Business Mailing Address
First Line : 32355 ARTHUR RD
Second Line :
City : SOLON
State : OH
Zip : 44139-4547
Country : US
Telephone Number : 440-349-0857
Fax Number :
Provider Business Practice Location Address
First Line : 1275 LAKESIDE AVE E
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-1132
Country : US
Telephone Number : 216-241-8230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 02/17/2010

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Directions to “ MR. MICHAEL F ZOFCIN SLP” Practice Location

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