Mckernan, Gregory C
Mckernan, Gregory C is an individual health care provider with primary practice located at 1355 50Th St Suite 100, West Des Moines IA 50266-1617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mckernan, Gregory C can be contacted via phone (515) 225-3261.Contact Information
Primary practice address
1355 50Th St Suite 100
West Des Moines IA 50266-1617
Phone: (515) 225-3261
Fax: (515) 225-1944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO-02827 | Iowa |
Profile Details
| NPI number | 1558341628 |
|---|---|
| LBN Legal business name | Mckernan, Gregory C |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Feb 28th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558341628 | NPPES |
| Iowa | Other | 38887 | BCBS |
| Iowa | MEDICAID | 5105601 | BCBS |
| Iowa | Other | 38969 | BCBS |
| Iowa | MEDICAID | 4105601 | BCBS |
| Iowa | Other | P00246380 | BCBS |
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