Healthcare Provider Details

I. General information

NPI: 1023470077
Provider Name (Legal Business Name): MATTHEW STEINLAGE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2016
Last Update Date: 08/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 ARCH ST STE 1B
AKRON OH
44304-1423
US

IV. Provider business mailing address

55 ARCH ST SUITE 1B
AKRON OH
44304-1423
US

V. Phone/Fax

Practice location:
  • Phone: 330-375-3315
  • Fax: 330-375-7779
Mailing address:
  • Phone: 330-375-3315
  • Fax: 330-375-7779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.136248
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: