Mcdonough, Daniel G
Mcdonough, Daniel G is an sole proprietor health care provider with primary practice located at 3007 Memorial Pkwy Sw Suite C, Huntsville AL 35801-5393. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Mcdonough, Daniel G can be contacted via phone (256) 799-2500.Contact Information
Primary practice address
3007 Memorial Pkwy Sw Suite C
Huntsville AL 35801-5393
Phone: (256) 799-2500
Fax: (256) 799-2501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25210 | Alabama |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD25210 | Alabama |
Profile Details
| NPI number | 1255339958 |
|---|---|
| LBN Legal business name | Mcdonough, Daniel G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Apr 10th, 2012 - about 12 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 | 1255339958 | NPPES |
| Alabama | MEDICAID | 051558397 | |
| Alabama | Other | 051558397 | |
| Alabama | MEDICAID | 331300661 | |
| Alabama | MEDICAID | 331334661 | |
| Alabama | Other | 51538378 |
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