Mcdonough, Dennis M

Mcdonough, Dennis M is an sole proprietor health care provider with primary practice located at 2313 Nw Summerfield Dr , Lees Summit MO 64081-1921. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Mcdonough, Dennis M can be contacted via phone (816) 918-3225.

Contact Information

Primary practice address
2313 Nw Summerfield Dr Lees Summit MO 64081-1921
Phone: (816) 918-3225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 061827 Missouri

Profile Details

NPI number 1811945405
LBN Legal business name Mcdonough, Dennis M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Oct 5th, 2013 - about 11 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 1811945405 NPPES
Missouri MEDICAID 912682176
Missouri MEDICAID 540568508
Missouri Other 029516
Missouri MEDICAID 1811945405

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