Provider Demographics
NPI:1073680575
Name:MATTHEW PRAMIK, D.C., INC.
Entity type:Organization
Organization Name:MATTHEW PRAMIK, D.C., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:J
Authorized Official - Last Name:PRAMIK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-835-3005
Mailing Address - Street 1:859 N REVERE RD
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-2908
Mailing Address - Country:US
Mailing Address - Phone:330-785-8849
Mailing Address - Fax:
Practice Address - Street 1:859 N REVERE RD
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-2908
Practice Address - Country:US
Practice Address - Phone:330-785-8849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2025-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2505111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2011370Medicaid
OH2011370Medicaid