Mcdonough, John W

Mcdonough, John W is an individual health care provider with primary practice located at 410 Dewey St , Wisconsin Rapids WI 54495-8075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Mcdonough, John W can be contacted via phone (715) 421-5257.

Contact Information

Primary practice address
410 Dewey St Wisconsin Rapids WI 54495-8075
Phone: (715) 421-5257
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 19291 Wisconsin
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 19291 Wisconsin

Profile Details

NPI number 1700879525
LBN Legal business name Mcdonough, John W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Apr 12th, 2012 - about 14 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 1700879525 NPPES
Wisconsin MEDICAID 30035800

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