Mckenna, John M
Mckenna, John M is an sole proprietor health care provider with primary practice located at 400 Rosalind Redfern Grover Pkwy Ste 271 , Midland TX 79701-5857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Mckenna, John M can be contacted via phone (432) 221-2700.Contact Information
Primary practice address
400 Rosalind Redfern Grover Pkwy Ste 271
Midland TX 79701-5857
Phone: (432) 221-2700
Fax: (432) 221-2702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | E-4516 | Texas |
Profile Details
| NPI number | 1225170103 |
|---|---|
| LBN Legal business name | Mckenna, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | May 4th, 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 | 1225170103 | NPPES |
| Texas | MEDICAID | 1103996-02 |
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