Mcnerney, Michael J

Mcnerney, Michael J is an sole proprietor health care provider with primary practice located at 1235 Osos St Suite 100, San Luis Obispo CA 93401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mcnerney, Michael J can be contacted via phone (805) 549-0888.

Contact Information

Primary practice address
1235 Osos St Suite 100 San Luis Obispo CA 93401
Phone: (805) 549-0888
Fax: (805) 549-8463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A67247 California

Profile Details

NPI number 1982636361
LBN Legal business name Mcnerney, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Jul 2nd, 2015 - about 11 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 1982636361 NPPES
California Other 00A67247A BLUE SHIELD OF CA PIN
California MEDICAID 00A672470 BLUE SHIELD OF CA PIN
California Other 5360822002 BLUE SHIELD OF CA PIN
California Other 7175813 BLUE SHIELD OF CA PIN

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