Mcdonnell, W Michael

Mcdonnell, W Michael is an individual health care provider with primary practice located at 500 W. Fort St. # 111, Boise ID 83702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mcdonnell, W Michael can be contacted via phone (208) 422-1000.

Contact Information

Primary practice address
500 W. Fort St. # 111 Boise ID 83702
Phone: (208) 422-1000
Fax: (208) 422-1319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD00035287 Washington

Profile Details

NPI number 1942241104
LBN Legal business name Mcdonnell, W Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jun 23rd, 2022 - 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 1942241104 NPPES
Washington Other 0115863 LABOR AND INDUSTRY
Washington Other MD00035287 LABOR AND INDUSTRY
Washington MEDICAID 8209629 LABOR AND INDUSTRY
Washington Other 100010270 LABOR AND INDUSTRY

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