Mckenna, Dwight Lawrence
Mckenna, Dwight Lawrence is an sole proprietor health care provider with primary practice located at 1827 Gentilly Blvd , New Orleans LA 70119-2051. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Mckenna, Dwight Lawrence can be contacted via phone (504) 943-1923.Contact Information
Primary practice address
1827 Gentilly Blvd
New Orleans LA 70119-2051
Phone: (504) 943-1923
Fax: (504) 943-1933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 03347R | Louisiana |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD03347R | Louisiana |
Profile Details
| NPI number | 1316056419 |
|---|---|
| LBN Legal business name | Mckenna, Dwight Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jun 18th, 2008 - about 17 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 | 1316056419 | NPPES |
| Louisiana | Other | UP4206 | UNITED HEALTHCARE |
| Louisiana | MEDICAID | 1129267 | UNITED HEALTHCARE |
| Louisiana | Other | F4229 | UNITED HEALTHCARE |
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