Kusnan, Djohan
Kusnan, Djohan is an individual health care provider with primary practice located at 703 Main St , Paterson NJ 07503-2621. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kusnan, Djohan can be contacted via phone (973) 754-2323.Contact Information
Primary practice address
703 Main St
Paterson NJ 07503-2621
Phone: (973) 754-2323
Fax: (973) 977-9455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA26839 | New Jersey |
Profile Details
| NPI number | 1881691525 |
|---|---|
| LBN Legal business name | Kusnan, Djohan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1881691525 | NPPES |
| New Jersey | MEDICAID | 1390902 |
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