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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710283999 | NPPES |
Ohio | MEDICAID | 0268768 |
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