Konan, Edison
Konan, Edison is an individual health care provider with primary practice located at 15450 Heatherwood , Southgate MI 48195-8523. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Driver, Nursing Service Related Providers / Adult Companion, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is his primary health care specialty. Konan, Edison can be contacted via phone (734) 720-2097.Contact Information
Primary practice address
15450 Heatherwood
Southgate MI 48195-8523
Phone: (734) 720-2097
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
Other Service Providers / Driver | 172A00000X | ||
Nursing Service Related Providers / Adult Companion | 372600000X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 7501016017 | Michigan |
Profile Details
NPI number | 1598476061 |
---|---|
LBN Legal business name | Konan, Edison |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 6th, 2022 |
Last updated | Jan 8th, 2024 - about 11 months 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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