Mccan, Dwight Owen

Mccan, Dwight Owen is an sole proprietor health care provider with primary practice located at 3424 Victor Ave , Oakland CA 94602-4028. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as his primary health care specialty. Mccan, Dwight Owen can be contacted via phone (510) 530-8700.

Contact Information

Primary practice address
3424 Victor Ave Oakland CA 94602-4028
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X 273 California

Profile Details

NPI number 1407475833
LBN Legal business name Mccan, Dwight Owen
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2020
Last updated Apr 15th, 2020 - about 4 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 1407475833 NPPES
California Other 1170154882 UNITED STATES UNIFORMED SERVICES

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