Mckendree, James Edward

Mckendree, James Edward is an individual health care provider with primary practice located at 1013 Menoher Blvd , Johnstown PA 15905-2544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mckendree, James Edward can be contacted via phone (814) 254-4885.

Contact Information

Primary practice address
1013 Menoher Blvd Johnstown PA 15905-2544
Phone: (814) 254-4885
Fax: (814) 254-4533
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD420002 Pennsylvania

Profile Details

NPI number 1992700504
LBN Legal business name Mckendree, James Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jul 10th, 2023 - 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 1992700504 NPPES
Pennsylvania MEDICAID 0019195700003

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