Mckenna, David Stephen

Mckenna, David Stephen is an individual health care provider with primary practice located at 1 Wyoming St Berry Bldg, Ground Fl, Dayton OH 45409-2722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Mckenna, David Stephen can be contacted via phone (937) 208-2516.

Contact Information

Primary practice address
1 Wyoming St Berry Bldg, Ground Fl Dayton OH 45409-2722
Phone: (937) 208-2516
Fax: (937) 208-6124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 35065819 Ohio

Profile Details

NPI number 1578568424
LBN Legal business name Mckenna, David Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 22nd, 2013 - about 11 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 1578568424 NPPES
Other 000000205198 ANTHEM PIN
MEDICAID 2067838 ANTHEM PIN

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