Mckennan, John M
Mckennan, John M is an individual health care provider with primary practice located at 107 Business Park Dr , Utica NY 13502-6399. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mckennan, John M can be contacted via phone (315) 792-4666.Contact Information
Primary practice address
107 Business Park Dr
Utica NY 13502-6399
Phone: (315) 792-4666
Fax: (315) 798-1893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 1620083 | New York |
Profile Details
| NPI number | 1588625297 |
|---|---|
| LBN Legal business name | Mckennan, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Aug 6th, 2020 - about 5 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 | 1588625297 | NPPES |
| New York | MEDICAID | 01647929 |
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