Mckean, William G

Mckean, William G is an individual health care provider with primary practice located at 325 Old Pleasant Grove Rd , Mt Juliet TN 37122-4493. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mckean, William G can be contacted via phone (629) 255-2102.

Contact Information

Primary practice address
325 Old Pleasant Grove Rd Mt Juliet TN 37122-4493
Fax: (629) 255-4166
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X XXXXXXX Tennessee

Profile Details

NPI number 1790710374
LBN Legal business name Mckean, William G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jun 13th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790710374 NPPES
Tennessee MEDICAID 3000807

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