Mcdonald, John Matthew
Mcdonald, John Matthew is an individual health care provider with primary practice located at 125 Queens Rd Ste 540 , Charlotte NC 28204-3215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Mcdonald, John Matthew can be contacted via phone (980) 302-6560.Contact Information
Primary practice address
125 Queens Rd Ste 540
Charlotte NC 28204-3215
Phone: (980) 302-6560
Fax: (980) 302-6565
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 39349 | Kentucky |
Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 9801384 | North Carolina |
Profile Details
NPI number | 1467496869 |
---|---|
LBN Legal business name | Mcdonald, John Matthew |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2006 |
Last updated | Aug 19th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467496869 | NPPES |
Kentucky | MEDICAID | 64102924 | |
Kentucky | MEDICAID | 5909347 |
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