Mckinney, Dan Richard
Mckinney, Dan Richard is an sole proprietor health care provider with primary practice located at 116 W 21St St , Clovis NM 88101-4364. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mckinney, Dan Richard can be contacted via phone (505) 763-4851.Contact Information
Primary practice address
116 W 21St St
Clovis NM 88101-4364
Phone: (505) 763-4851
Fax: (505) 769-0249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DD822 | New Mexico |
Profile Details
| NPI number | 1073594214 |
|---|---|
| LBN Legal business name | Mckinney, Dan Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Dec 21st, 2011 - about 15 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 | 1073594214 | NPPES |
| New Mexico | MEDICAID | 008419 | |
| New Mexico | Other | 85522 |
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