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
Fax: (515) 225-1944
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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