Mcconville, James Brad

Mcconville, James Brad is an individual health care provider with primary practice located at 19876 Saint Joseph Dr , Centerville IA 52544-8850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcconville, James Brad can be contacted via phone (641) 856-8684.

Contact Information

Primary practice address
19876 Saint Joseph Dr Centerville IA 52544-8850
Phone: (641) 856-8684
Fax: (641) 856-3009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19494 Iowa

Profile Details

NPI number 1740279157
LBN Legal business name Mcconville, James Brad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Apr 23rd, 2008 - about 16 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 1740279157 NPPES
Iowa MEDICAID 3127381
Iowa Other P00000614

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