Mong, David G

Mong, David G is an individual health care provider with primary practice located at 7007 Powers Blvd , Parma OH 44129-5437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mong, David G can be contacted via phone (440) 743-3000.

Contact Information

Primary practice address
7007 Powers Blvd Parma OH 44129-5437
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35-060108 Ohio

Profile Details

NPI number 1386612018
LBN Legal business name Mong, David G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 8th, 2007 - about 17 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 1386612018 NPPES
Ohio Other 000000125539 ANTHEM
Ohio MEDICAID 0892093 ANTHEM

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