Organization
E & J MCDONNELL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA MCDONNELL APRN (SECRETARY)
(330) 510-1890
Entity
Organization
Contact information
Practice address
8166 MARKET ST STE H, BOARDMAN, OH 44512-6247
(330) 510-1890
(330) 510-1963
Mailing address
8166 MARKET ST STE H, BOARDMAN, OH 44512-6247
(330) 510-1890
(330) 510-1963
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201861
—
OH
Enumeration date
03/15/2019
Last updated
05/23/2019
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