| E & J Mcdonnell Inc | |
|
8166 Market St Ste H Boardman OH 44512-6247 | |
| (330) 510-1890 | |
| (330) 510-1963 |
| Full Name | E & J Mcdonnell Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8166 Market St Ste H, Boardman, Ohio |
| Authorized Official Name and Position | Juanita Mcdonnell (SECRETARY) |
| Authorized Official Contact | 3305101890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E & J Mcdonnell Inc 8166 Market St Ste H Boardman OH 44512-6247 Ph: (330) 510-1890 | E & J Mcdonnell Inc 8166 Market St Ste H Boardman OH 44512-6247 Ph: (330) 510-1890 |
| NPI Number | 1427517887 |
|---|---|
| Provider Enumeration Date | 03/15/2019 |
| Last Update Date | 05/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427517887 | NPI | - | NPPES |
| 0201861 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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