Mckeon, David Joseph

Mckeon, David Joseph is an sole proprietor health care provider with primary practice located at 11-21 Broadway , Gloversville NY 12078. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mckeon, David Joseph can be contacted via phone (518) 725-4310.

Contact Information

Primary practice address
11-21 Broadway Gloversville NY 12078
Fax: (518) 725-4310
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 074231 New York

Profile Details

NPI number 1003029216
LBN Legal business name Mckeon, David Joseph
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2007
Last updated Sep 18th, 2009 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003029216 NPPES
New York MEDICAID 02994425

Popular Providers