Mckernan, Paul Duane
Mckernan, Paul Duane is an individual health care provider with primary practice located at 18699 N 67Th Ave Ste 320, Glendale AZ 85308-7143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mckernan, Paul Duane can be contacted via phone (623) 561-7250.Contact Information
Primary practice address
18699 N 67Th Ave Ste 320
Glendale AZ 85308-7143
Phone: (623) 561-7250
Fax: (623) 561-0098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 17534 | Arizona |
Profile Details
| NPI number | 1790788016 |
|---|---|
| LBN Legal business name | Mckernan, Paul Duane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Jul 8th, 2007 - 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 | 1790788016 | NPPES |
| Arizona | MEDICAID | 280371 |
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