Mckernan, Michael James
Mckernan, Michael James is an sole proprietor health care provider with primary practice located at 14520 W Granite Valley Dr Ste 210 , Sun City West AZ 85375. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Mckernan, Michael James can be contacted via phone (866) 974-2673.Contact Information
Primary practice address
14520 W Granite Valley Dr Ste 210
Sun City West AZ 85375
Phone: (866) 974-2673
Fax: (866) 939-2673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME154149 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 68920 | Arizona |
Profile Details
| NPI number | 1356873392 |
|---|---|
| LBN Legal business name | Mckernan, Michael James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2017 |
| Last updated | Apr 23rd, 2024 - about 5 months 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 | 1356873392 | NPPES |
| Florida | Other | 207X00000X | TAXONOMY |
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