Mcelheran, Michael Kenneth

Mcelheran, Michael Kenneth is an individual health care provider with primary practice located at 1571 Washington St Suite 201, Watertown NY 13601-9304. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mcelheran, Michael Kenneth can be contacted via phone (315) 782-1650.

Contact Information

Primary practice address
1571 Washington St Suite 201 Watertown NY 13601-9304
Phone: (315) 782-1650
Fax: (315) 788-8547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 010798-1 New York

Profile Details

NPI number 1760471718
LBN Legal business name Mcelheran, Michael Kenneth
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated May 29th, 2008 - about 18 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 1760471718 NPPES
New York MEDICAID 02897827

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