Mcconnellogue, John
Mcconnellogue, John is an sole proprietor health care provider with primary practice located at 7301 Medical Center Dr Ste 404 , West Hills CA 91307-1930. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Mcconnellogue, John can be contacted via phone (818) 347-3239.Contact Information
Primary practice address
7301 Medical Center Dr Ste 404
West Hills CA 91307-1930
Phone: (818) 347-3239
Fax: (818) 348-0444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G32529 | California |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | G32529 | California |
Profile Details
| NPI number | 1487612073 |
|---|---|
| LBN Legal business name | Mcconnellogue, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Mar 10th, 2020 - about 5 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 | 1487612073 | NPPES |
| California | MEDICAID | 00G325290 |
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