Mckenna, Martin John
Mckenna, Martin John is an individual health care provider with primary practice located at 9911 Corkscrew Road Suite 101, Estero FL 33928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mckenna, Martin John can be contacted via phone (239) 768-2111.Contact Information
Primary practice address
9911 Corkscrew Road Suite 101
Estero FL 33928
Phone: (239) 768-2111
Fax: (239) 947-5007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME66709 | Florida |
Profile Details
| NPI number | 1497713549 |
|---|---|
| LBN Legal business name | Mckenna, Martin John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Aug 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497713549 | NPPES |
| Florida | MEDICAID | 376808200 |
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