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:
Health care specialties
Specialty | Code | License # | 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 last year |
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 | 1992700504 | NPPES |
Pennsylvania | MEDICAID | 0019195700003 |
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