Mkrtschjan, Simona A

Mkrtschjan, Simona A is an sole proprietor health care provider with primary practice located at 2815 Corydon Rd , Cleveland Heights OH 44118-3511. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mkrtschjan, Simona A can be contacted via phone (617) 803-5317.

Contact Information

Primary practice address
2815 Corydon Rd Cleveland Heights OH 44118-3511
Phone: (617) 803-5317
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.1200004 Ohio

Profile Details

NPI number 1710283999
LBN Legal business name Mkrtschjan, Simona A
Credentials LISW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2011
Last updated Jun 6th, 2012 - 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 1710283999 NPPES
Ohio MEDICAID 0268768

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