Kannensohn, Jon D
Kannensohn, Jon D is an individual health care provider with primary practice located at 9000 Mentor Ave Ste 100 , Mentor OH 44060-4496. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kannensohn, Jon D can be contacted via phone (440) 974-4411.Contact Information
Primary practice address
9000 Mentor Ave Ste 100
Mentor OH 44060-4496
Phone: (440) 974-4411
Fax: (440) 974-4173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35078034K | Ohio |
Profile Details
| NPI number | 1760583587 |
|---|---|
| LBN Legal business name | Kannensohn, Jon D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Aug 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760583587 | NPPES |
| Ohio | MEDICAID | 2197662 |
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