Mccunniff, Dennis Edward

Mccunniff, Dennis Edward is an individual health care provider with primary practice located at 1806 S Hawthorne Rd , Winston Salem NC 27103-4014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mccunniff, Dennis Edward can be contacted via phone (336) 768-3632.

Contact Information

Primary practice address
1806 S Hawthorne Rd Winston Salem NC 27103-4014
Fax: (336) 736-4473
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 26961 North Carolina

Profile Details

NPI number 1518955962
LBN Legal business name Mccunniff, Dennis Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Feb 28th, 2014 - about 10 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 1518955962 NPPES
North Carolina MEDICAID 8955961

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