Mckenna, Stephen James
Mckenna, Stephen James is an individual health care provider with primary practice located at 187 Thomas Johnson Dr Suite 7, Frederick MD 21702-4503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mckenna, Stephen James can be contacted via phone (240) 457-4605.Contact Information
Primary practice address
187 Thomas Johnson Dr Suite 7
Frederick MD 21702-4503
Phone: (240) 457-4605
Fax: (240) 457-4631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | D0031422 | Maryland |
Profile Details
| NPI number | 1982665147 |
|---|---|
| LBN Legal business name | Mckenna, Stephen James |
| Credentials | MD, MBA, FACS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Mar 3rd, 2016 - about 9 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 | 1982665147 | NPPES |
| Maryland | MEDICAID | 483881500 |
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