Mcdonough, Patrick Earl

Mcdonough, Patrick Earl is an individual health care provider with primary practice located at 235 State Street , St. Croix Falls WI 54024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mcdonough, Patrick Earl can be contacted via phone (715) 483-3221.

Contact Information

Primary practice address
235 State Street St. Croix Falls WI 54024
Phone: (715) 483-3221
Fax: (715) 483-0507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 50910 Minnesota
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 54869 Wisconsin

Profile Details

NPI number 1225151558
LBN Legal business name Mcdonough, Patrick Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jan 15th, 2021 - about 5 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 1225151558 NPPES
Wisconsin MEDICAID 1225151558
Wisconsin MEDICAID 1225151558

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