Mckinley, Jeffrey D

Mckinley, Jeffrey D is an individual health care provider with primary practice located at 46 Ravenna St Suite A6, Hudson OH 44236. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mckinley, Jeffrey D can be contacted via phone (330) 650-0353.

Contact Information

Primary practice address
46 Ravenna St Suite A6 Hudson OH 44236
Phone: (330) 650-0353
Fax: (330) 650-1259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 15287 Ohio

Profile Details

NPI number 1679583173
LBN Legal business name Mckinley, Jeffrey D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 19 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 1679583173 NPPES
Ohio MEDICAID 0327800

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