Mcdonnell, Roy Dale
Mcdonnell, Roy Dale is an sole proprietor health care provider with primary practice located at 4117 Montgomery Blvd Ne , Albuquerque NM 87109-1102. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mcdonnell, Roy Dale can be contacted via phone (505) 884-2927.Contact Information
Primary practice address
4117 Montgomery Blvd Ne
Albuquerque NM 87109-1102
Phone: (505) 884-2927
Fax: (505) 884-2672
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1063513992 |
|---|---|
| LBN Legal business name | Mcdonnell, Roy Dale |
| Credentials | B.C.O. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063513992 | NPPES |
| New Mexico | MEDICAID | T2326 |
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