Healthcare Provider Details

I. General information

NPI: 1750183943
Provider Name (Legal Business Name): MATTHEW MARTINSEK RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 W 130TH ST
HINCKLEY OH
44233-9610
US

IV. Provider business mailing address

13153 HAMPTON CLUB DR APT 208
NORTH ROYALTON OH
44133-7421
US

V. Phone/Fax

Practice location:
  • Phone: 330-225-8458
  • Fax:
Mailing address:
  • Phone: 440-665-3295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03443634
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: