Mcdonagh, John C

Mcdonagh, John C is an individual health care provider with primary practice located at 469 Migeon Ave , Torrington CT 06790-4643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mcdonagh, John C can be contacted via phone (860) 489-0931.

Contact Information

Primary practice address
469 Migeon Ave Torrington CT 06790-4643
Phone: (860) 489-0931
Fax: (860) 489-3325
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 043403 Connecticut

Profile Details

NPI number 1265430193
LBN Legal business name Mcdonagh, John C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Aug 6th, 2015 - 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 1265430193 NPPES
Connecticut MEDICAID 001434034
Connecticut MEDICAID 004247872

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