Cupp, Sean A.

Cupp, Sean A. is an individual health care provider with primary practice located at 24701 Euclid Ave 3Rd Floor, Euclid OH 44117-1714. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Cupp, Sean A. can be contacted via phone (216) 844-7200.

Contact Information

Primary practice address
24701 Euclid Ave 3Rd Floor Euclid OH 44117-1714
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0430814 Kansas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 0430814 Kansas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 35.124490 Ohio

Profile Details

NPI number 1114985173
LBN Legal business name Cupp, Sean A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Dec 2nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114985173 NPPES
Kansas MEDICAID 200307140A
Kansas MEDICAID 0109771

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