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
Phone: (216) 844-7200
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114985173 | NPPES |
Kansas | MEDICAID | 200307140A | |
Kansas | MEDICAID | 0109771 |
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