Doctor Name: | DR. JONATHAN SUN |
NPI Number: | 1548604770 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | |
Business Practice Address: | 300 El Camino Real Sierra Vista, AZ - 856352812 |
Business Phone Number: | 3104982960 |
Business Fax Number: | |
Mailing Address: | 11100 Euclid Ave, CLEVELAND |
State: | OH |
Postal Code: | 441061716 |
Phone Number: | 2168441988 |
Fax Number: | 2168441632 |
NPI Enumeration Date: | 04/18/2013 |
NPI Last Update Date: | 05/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |