Mckenna, Michael Daniel

Mckenna, Michael Daniel is an individual health care provider with primary practice located at 1500 Delhi St Ste 4100, Dubuque IA 52001-6358. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mckenna, Michael Daniel can be contacted via phone (563) 557-5900.

Contact Information

Primary practice address
1500 Delhi St Ste 4100 Dubuque IA 52001-6358
Phone: (563) 557-5900
Fax: (563) 557-5905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 33868 Iowa

Profile Details

NPI number 1821061326
LBN Legal business name Mckenna, Michael Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated May 25th, 2010 - about 16 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 1821061326 NPPES
Iowa MEDICAID 2188276
Iowa Other 55734
Iowa Other 1821061326
Iowa Other 13252
Iowa Other IA0108

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