Healthcare Provider Details

I. General information

NPI: 1013429208
Provider Name (Legal Business Name): ATSUKO SEKI MB
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ATSUKO FUKADA MB

II. Dates (important events)

Enumeration Date: 10/28/2017
Last Update Date: 10/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-2200
  • Fax:
Mailing address:
  • Phone: 216-444-2200
  • Fax: 216-444-6715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: