Healthcare Provider Details

I. General information

NPI: 1598634693
Provider Name (Legal Business Name): MATTHEW EADDIE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 BABBITT RD STE 242
EUCLID OH
44123-1636
US

IV. Provider business mailing address

333 BABBITT RD STE 242
EUCLID OH
44123-1636
US

V. Phone/Fax

Practice location:
  • Phone: 216-551-5020
  • Fax: 216-551-5020
Mailing address:
  • Phone: 216-888-3944
  • Fax: 216-266-0952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: