Mckenney, Jesse
Mckenney, Jesse is an individual health care provider with primary practice located at 300 Pasteur Dr # L235 , Stanford CA 94305-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Mckenney, Jesse can be contacted via phone (650) 723-7975.Contact Information
Primary practice address
300 Pasteur Dr # L235
Stanford CA 94305-2200
Phone: (650) 723-7975
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | A81354 | California |
Profile Details
| NPI number | 1881784379 |
|---|---|
| LBN Legal business name | Mckenney, Jesse |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jun 10th, 2008 - about 17 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 | 1881784379 | NPPES |
| Arkansas | Other | P00136815 | RAILROAD MEDICARE |
| Arkansas | MEDICAID | 154802001 | RAILROAD MEDICARE |
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