Mcdonnell, James R

Mcdonnell, James R is an individual health care provider with primary practice located at 1221 6Th St Ste 208, Traverse City MI 49684-2360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mcdonnell, James R can be contacted via phone (231) 935-2844.

Contact Information

Primary practice address
1221 6Th St Ste 208 Traverse City MI 49684-2360
Phone: (231) 935-2844
Fax: (231) 935-2850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101008369 Michigan

Profile Details

NPI number 1073517587
LBN Legal business name Mcdonnell, James R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jul 8th, 2007 - about 19 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 1073517587 NPPES
Michigan MEDICAID 4402337

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