Individual
MICHAEL JONATHAN SALATA
Active
Individual
MICHAEL JONATHAN SALATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036123170
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
35.095437
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000313137
UNISON
OH
05
—
1025613910001
—
PA
01
—
1633878
BCBS
IL
01
—
2048816199CS
CARESOURCE
OH
05
—
3071974
—
OH
01
—
561814
WELLCARE
OH
01
—
9980399
AETNA
IL
01
—
P00891147
RAILROAD MEDICARE
OH
Enumeration date
04/17/2007
Last updated
01/13/2021
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