Fakadej, David John
Fakadej, David John is an individual health care provider with primary practice located at 17652 Munn Rd , Chagrin Falls OH 44023-5425. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fakadej, David John can be contacted via phone (440) 543-2771.Contact Information
Primary practice address
17652 Munn Rd
Chagrin Falls OH 44023-5425
Phone: (440) 543-2771
Fax: (440) 543-2772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3156 | Ohio |
Profile Details
| NPI number | 1760402689 |
|---|---|
| LBN Legal business name | Fakadej, David John |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Feb 3rd, 2011 - about 15 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 | 1760402689 | NPPES |
| Idaho | MEDICAID | 2265972 |
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