Mcgovern, Rene J
Mcgovern, Rene J is an sole proprietor health care provider with primary practice located at 7301 E 3Rd Ave Unit 405, Scottsdale AZ 85251-4451. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mcgovern, Rene J can be contacted via phone (660) 341-5030.Contact Information
Primary practice address
7301 E 3Rd Ave Unit 405
Scottsdale AZ 85251-4451
Phone: (660) 341-5030
Fax: (480) 773-6063
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | R0475 | Missouri |
Profile Details
NPI number | 1093717084 |
---|---|
LBN Legal business name | Mcgovern, Rene J |
Credentials | PH D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 10th, 2005 |
Last updated | Mar 30th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093717084 | NPPES |
Missouri | MEDICAID | 499779817 |
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