Mcnellis, Patrick J.
Mcnellis, Patrick J. is an individual health care provider with primary practice located at 1234 Napier Ave , Saint Joseph MI 49085-2112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Mcnellis, Patrick J. can be contacted via phone (269) 985-4632.Contact Information
Primary practice address
1234 Napier Ave
Saint Joseph MI 49085-2112
Phone: (269) 985-4632
Fax: (269) 985-4623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036-055852 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01059499A | Indiana |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 4301101997 | Michigan |
Profile Details
| NPI number | 1487764676 |
|---|---|
| LBN Legal business name | Mcnellis, Patrick J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Nov 20th, 2012 - about 13 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 | 1487764676 | NPPES |
| Indiana | Other | 000000743297 | BCBS |
| Indiana | MEDICAID | 036055852 | BCBS |
| Indiana | MEDICAID | 200989440 | BCBS |
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