Mcilwaine, John Keith
Mcilwaine, John Keith is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-0002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Mcilwaine, John Keith can be contacted via phone (570) 271-6389.Contact Information
Primary practice address
100 N Academy Ave
Danville PA 17822-0002
Phone: (570) 271-6389
Fax: (570) 271-6021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS013009 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 227083 | Massachusetts |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 227083 | Massachusetts |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | OS013009 | Pennsylvania |
Profile Details
| NPI number | 1346249125 |
|---|---|
| LBN Legal business name | Mcilwaine, John Keith |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Aug 11th, 2020 - about 4 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 | 1346249125 | NPPES |
| Pennsylvania | MEDICAID | 1011340930001 | |
| Pennsylvania | MEDICAID | 2114534 |
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