Organization Name: | JOHN T. MCDONNELL, M.D. INC |
NPI Number: | 1992148753 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN THOMAS MCDONNELL (PRESIDENT) |
Mailing Address: | 46-001 Kamehameha Hwy Suite 401 Kaneohe |
State: | HI US |
Postal Code: | 967443711 |
Phone Number: | 8082476070 |
Fax Number: | 8082358928 |
NPI Enumeration Date: | 04/11/2013 |
NPI Last Update Date: | 06/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 3865 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |