Mcdonald, William Kenneth

Mcdonald, William Kenneth is an individual health care provider with primary practice located at 129 N River St , Fenton MI 48430-3800. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mcdonald, William Kenneth can be contacted via phone (810) 629-0760.

Contact Information

Primary practice address
129 N River St Fenton MI 48430-3800
Phone: (810) 629-0760
Fax: (810) 616-6268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801004000 Michigan

Profile Details

NPI number 1124187497
LBN Legal business name Mcdonald, William Kenneth
Credentials M.DIV., LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 19 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 1124187497 NPPES
Other 11652509 CAQH PROVIDER ID

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