Mcdonald, William Kenneth
Mcdonald, William Kenneth is an individual health care provider with primary practice located at 129 N River St , Fenton MI 48430-3800. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mcdonald, William Kenneth can be contacted via phone (810) 629-0760.Contact Information
Primary practice address
129 N River St
Fenton MI 48430-3800
Phone: (810) 629-0760
Fax: (810) 616-6268
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801004000 | Michigan |
Profile Details
NPI number | 1124187497 |
---|---|
LBN Legal business name | Mcdonald, William Kenneth |
Credentials | M.DIV., LMSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 6th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1124187497 | NPPES |
Other | 11652509 | CAQH PROVIDER ID |
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