Mcdonough, Patrick Earl
Mcdonough, Patrick Earl is an individual health care provider with primary practice located at 235 State Street , St. Croix Falls WI 54024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mcdonough, Patrick Earl can be contacted via phone (715) 483-3221.Contact Information
Primary practice address
235 State Street
St. Croix Falls WI 54024
Phone: (715) 483-3221
Fax: (715) 483-0507
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 50910 | Minnesota |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 54869 | Wisconsin |
Profile Details
NPI number | 1225151558 |
---|---|
LBN Legal business name | Mcdonough, Patrick Earl |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 10th, 2007 |
Last updated | Jan 15th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225151558 | NPPES |
Wisconsin | MEDICAID | 1225151558 | |
Wisconsin | MEDICAID | 1225151558 |
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