John M Mcnulty Md Pc in Kellogg ID

John M Mcnulty Md Pc is an orthopedic surgery with a current address of 740 Mckinley Ave Kellogg ID 83837-2693. The NPI is 1194996470, and the license number is M7646 (ID). It was issued on 03/14/2008. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an organization, and the NPI number was last updated on 03/14/2008.

 

John M Mcnulty Md Pc can be reached by phone at 2087831267, by mail at 862 Cherry Creek Rd St Maries ID 83861-9329, or by fax at .

 

John Mcnulty (Self) is the authorized representative of the organization and can be reached at this phone number: 2087847017.

Name: John M Mcnulty Md Pc

Specialization: Orthopedic Surgery

Provider Entity Type: Organization

Is Organization Subpart: No

Authorized Name: John Mcnulty

Authorized Title/Position: Self

Contact Number: 2087847017

 

Practice Location Address:

740 Mckinley Ave

Kellogg

ID 83837-2693

Telephone Number: 2087831267

Fax Number:

Mailing Address:

862 Cherry Creek Rd

St Maries

ID 83861-9329

Telephone Number: 2082459233

Fax Number:

 

NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.

NPI Number: 1194996470

Enumeration Date: 03/14/2008

Last Update: 03/14/2008

 

The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.

Primary Taxonomy Code: 207X00000X

License Number: M7646

License State: ID

 

Taxonomy Group: 193400000x Single Specialty Group

 

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Providers may hold one or more medical licenses in the same state or in different states for different specialties.

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