Macdonald, Eugene M

Macdonald, Eugene M is an individual health care provider with primary practice located at 2020 S Western Ave , Marion IN 46953-2800. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Macdonald, Eugene M can be contacted via phone (765) 662-0200.

Contact Information

Primary practice address
2020 S Western Ave Marion IN 46953-2800
Fax: (765) 673-2301
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 07000615A Indiana

Profile Details

NPI number 1760489702
LBN Legal business name Macdonald, Eugene M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Apr 15th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760489702 NPPES
Indiana MEDICAID 100123970

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