Dawson, Kristen E

Dawson, Kristen E is an individual health care provider with primary practice located at 3780 Medina Rd Ste. 200, Medina OH 44256-9311. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Dawson, Kristen E can be contacted via phone (330) 722-3083.

Contact Information

Primary practice address
3780 Medina Rd Ste. 200 Medina OH 44256-9311
Phone: (330) 722-3083
Fax: (330) 725-5043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 35-079129E Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 35079129 Ohio

Profile Details

NPI number 1447239124
LBN Legal business name Dawson, Kristen E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Dec 15th, 2011 - about 13 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 1447239124 NPPES
Ohio Other 4057394 MEDICARE ID
Ohio Other 4057397 MEDICARE ID
Ohio Other 4057391 MEDICARE ID
Ohio MEDICAID 2262215 MEDICARE ID
Ohio Other 4057395 MEDICARE ID
Ohio Other 4057392 MEDICARE ID

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