Fakadej, David John

Fakadej, David John is an individual health care provider with primary practice located at 17652 Munn Rd , Chagrin Falls OH 44023-5425. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fakadej, David John can be contacted via phone (440) 543-2771.

Contact Information

Primary practice address
17652 Munn Rd Chagrin Falls OH 44023-5425
Fax: (440) 543-2772
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3156 Ohio

Profile Details

NPI number 1760402689
LBN Legal business name Fakadej, David John
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Feb 3rd, 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 1760402689 NPPES
Idaho MEDICAID 2265972

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