Mckenna, Michael G.
Mckenna, Michael G. is an sole proprietor health care provider with primary practice located at 211 S Gulph Rd , King Of Prussia PA 19406-3112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Mckenna, Michael G. can be contacted via phone (610) 382-5900.Contact Information
Primary practice address
211 S Gulph Rd
King Of Prussia PA 19406-3112
Phone: (610) 382-5900
Fax: (610) 382-5919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 25MA060033 | New Jersey |
Profile Details
| NPI number | 1073556528 |
|---|---|
| LBN Legal business name | Mckenna, Michael G. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Nov 30th, 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 | 1073556528 | NPPES |
| New Jersey | MEDICAID | 7374704 |
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