Provider Demographics
NPI:1386434421
Name:MCDOUGALL, JOHN I
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:MCDOUGALL
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17781 BURROWS RD
Mailing Address - Street 2:
Mailing Address - City:THOMPSON
Mailing Address - State:OH
Mailing Address - Zip Code:44086-8718
Mailing Address - Country:US
Mailing Address - Phone:440-298-3612
Mailing Address - Fax:
Practice Address - Street 1:17781 BURROWS RD
Practice Address - Street 2:
Practice Address - City:THOMPSON
Practice Address - State:OH
Practice Address - Zip Code:44086-8718
Practice Address - Country:US
Practice Address - Phone:440-298-3612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle