Konstan, Michael W

Konstan, Michael W is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Konstan, Michael W can be contacted via phone (216) 844-7700.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 35-047897 Ohio

Profile Details

NPI number 1568482537
LBN Legal business name Konstan, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Nov 17th, 2010 - about 15 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 1568482537 NPPES
Ohio Other 363717 WELLCARE
Ohio Other 000000028203 WELLCARE
Ohio Other 642954 WELLCARE
Ohio MEDICAID 0699829 WELLCARE
Ohio Other 745931 WELLCARE
Ohio Other 000000526037 WELLCARE
Ohio Other 000000221262 WELLCARE
Ohio Other 699829 WELLCARE
Ohio MEDICAID 0011302060005 WELLCARE
Ohio MEDICAID 1568482537 WELLCARE

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