Mcgonagle, Jan

Mcgonagle, Jan is an individual health care provider with primary practice located at One Verney Drive Cmrc, Greenfield NH 03431-1719. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities. Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities is her primary health care specialty. Mcgonagle, Jan can be contacted via phone (603) 547-3311.

Contact Information

Primary practice address
One Verney Drive Cmrc Greenfield NH 03431-1719
Phone: (603) 547-3311
Fax: (603) 547-3232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9425 New Hampshire
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0420010669 Vermont
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X 9425 New Hampshire

Profile Details

NPI number 1265450936
LBN Legal business name Mcgonagle, Jan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Sep 11th, 2023 - about 3 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 1265450936 NPPES
New Hampshire MEDICAID 30008409
New Hampshire MEDICAID ORE3780

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