Mckichan, John Malcolm

Mckichan, John Malcolm is an sole proprietor health care provider with primary practice located at 11040 N State Road 77 , Hayward WI 54843-6391. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Mckichan, John Malcolm can be contacted via phone (715) 934-4321.

Contact Information

Primary practice address
11040 N State Road 77 Hayward WI 54843-6391
Phone: (715) 934-4321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 17740 Wisconsin

Profile Details

NPI number 1548378367
LBN Legal business name Mckichan, John Malcolm
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548378367 NPPES
Wisconsin Other 17740 LICENSE NUMBER
Wisconsin Other BM6733530 LICENSE NUMBER

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