Mcgannon, Michael L

Mcgannon, Michael L is an individual health care provider with primary practice located at 75 Nielson St Em Dept, Watsonville CA 95076-2468. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mcgannon, Michael L can be contacted via phone (831) 761-5613.

Contact Information

Primary practice address
75 Nielson St Em Dept Watsonville CA 95076-2468
Phone: (831) 761-5613
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C32614 California

Profile Details

NPI number 1235216755
LBN Legal business name Mcgannon, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 11th, 2009 - about 15 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 1235216755 NPPES
California MEDICAID 1235216755
California Other C32614

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