Mckenna, Tristan Joseph
Mckenna, Tristan Joseph is an sole proprietor health care provider with primary practice located at 2605 Sw White Birch Dr , Ankeny IA 50023-7204. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mckenna, Tristan Joseph can be contacted via phone (515) 643-7100.Contact Information
Primary practice address
2605 Sw White Birch Dr
Ankeny IA 50023-7204
Phone: (515) 643-7100
Fax: (515) 643-7145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO-05812 | Iowa |
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | DO-05812 | Iowa |
Profile Details
| NPI number | 1417304403 |
|---|---|
| LBN Legal business name | Mckenna, Tristan Joseph |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2016 |
| Last updated | Jan 5th, 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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