Mckenna, Daniel T.

Mckenna, Daniel T. is an individual health care provider with primary practice located at 2845 Greenbrier Rd Ste 230 , Green Bay WI 54311-6519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mckenna, Daniel T. can be contacted via phone (920) 288-8250.

Contact Information

Primary practice address
2845 Greenbrier Rd Ste 230 Green Bay WI 54311-6519
Phone: (920) 288-8250
Fax: (920) 288-8255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 48301 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 01066803A Indiana

Profile Details

NPI number 1255389755
LBN Legal business name Mckenna, Daniel T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Mar 28th, 2016 - about 9 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 1255389755 NPPES
Indiana MEDICAID 200943060
Indiana Other 000000624111

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