Mckenna, Michael J.

Mckenna, Michael J. is an individual health care provider with primary practice located at 243 Charles St , Boston MA 02114-3002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as his primary health care specialty. Mckenna, Michael J. can be contacted via phone (617) 573-4458.

Contact Information

Primary practice address
243 Charles St Boston MA 02114-3002
Phone: (617) 573-4458
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 70587 Massachusetts

Profile Details

NPI number 1639160609
LBN Legal business name Mckenna, Michael J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Aug 31st, 2010 - about 14 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 1639160609 NPPES
Massachusetts MEDICAID 3046184

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