Mcdonough, John Lee

Mcdonough, John Lee is an individual health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Mcdonough, John Lee can be contacted via phone (334) 464-2497.

Contact Information

Primary practice address
650 Joel Dr Fort Campbell KY 42223
Phone: (334) 464-2497
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11938 Alabama
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 11938 Alabama

Profile Details

NPI number 1932168275
LBN Legal business name Mcdonough, John Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jan 23rd, 2019 - about 5 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 1932168275 NPPES
Alabama Other 38853 BCBS PROVIDER NUMBER
Alabama MEDICAID 000038853 BCBS PROVIDER NUMBER

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