Kwon, David

Kwon, David is an sole proprietor health care provider with primary practice located at 4500 Euclid Ave , Cleveland OH 44103-3736. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Kwon, David can be contacted via phone (216) 325-9296.

Contact Information

Primary practice address
4500 Euclid Ave Cleveland OH 44103-3736
Phone: (216) 325-9296
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 12360 Ohio

Profile Details

NPI number 1740577055
LBN Legal business name Kwon, David
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2011
Last updated Dec 17th, 2013 - about 12 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 1740577055 NPPES
Ohio MEDICAID 0093361

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