Mccluskey, Dennis Connor

Mccluskey, Dennis Connor is an individual health care provider with primary practice located at 754 S Cleveland Ave , Mogadore OH 44260-2205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mccluskey, Dennis Connor can be contacted via phone (330) 628-2686.

Contact Information

Primary practice address
754 S Cleveland Ave Mogadore OH 44260-2205
Fax: (330) 628-0828
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35-040854 Ohio

Profile Details

NPI number 1851394266
LBN Legal business name Mccluskey, Dennis Connor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Mar 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851394266 NPPES
Ohio MEDICAID 0369195
Ohio Other 1841239074
Ohio Other 9338635
Ohio Other 2551671
Ohio Other 1083864144

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