Mcdonald, Ann G

Mcdonald, Ann G is an individual health care provider with primary practice located at 4455 E 56Th St , Davenport IA 52807-2995. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mcdonald, Ann G can be contacted via phone (563) 355-2577.

Contact Information

Primary practice address
4455 E 56Th St Davenport IA 52807-2995
Phone: (563) 355-2577
Fax: (563) 355-4015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 00988 Iowa

Profile Details

NPI number 1104814839
LBN Legal business name Mcdonald, Ann G
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jul 15th, 2021 - about 3 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 1104814839 NPPES
Iowa MEDICAID 1414722
Iowa Other 37650
Iowa Other IA01M3

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