Individual
SAMUEL GETACHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2152 REID AVE, LORAIN, OH 44052-4722
(440) 244-1677
(440) 244-1679
Mailing address
2152 REID AVE, LORAIN, OH 44052-4722
(440) 244-1677
(440) 244-1679
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35059976
OH
208100000X
Physical Medicine & Rehabilitation Physician
35059976
OH
208D00000X
General Practice Physician
35059976G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0838259
—
OH
Enumeration date
02/14/2006
Last updated
01/07/2021
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