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:
Health care specialties
| Specialty | Code | License # | 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 11 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 | 1740577055 | NPPES |
| Ohio | MEDICAID | 0093361 |
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