Cislo, David Alan
Cislo, David Alan is an sole proprietor health care provider with primary practice located at 2211 River Rd , Maumee OH 43537-3637. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cislo, David Alan can be contacted via phone (419) 897-7877.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4222 | Ohio |
Profile Details
| NPI number | 1215915160 |
|---|---|
| LBN Legal business name | Cislo, David Alan |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 1st, 2006 |
| Last updated | Sep 2nd, 2020 - about 6 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 | 1215915160 | NPPES |
| Ohio | MEDICAID | 0956354 |
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