Aafedt Mccoy, Jane Elisabeth

Aafedt Mccoy, Jane Elisabeth is an individual health care provider with primary practice located at 3001 11Th St. So. , Fargo ND 58103-7417. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Aafedt Mccoy, Jane Elisabeth can be contacted via phone (701) 356-0062.

Contact Information

Primary practice address
3001 11Th St. So. Fargo ND 58103-7417
Phone: (701) 356-0062
Fax: (701) 356-5412
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 947 North Dakota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 103187 Minnesota

Profile Details

NPI number 1669522421
LBN Legal business name Aafedt Mccoy, Jane Elisabeth
Credentials MOTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Nov 19th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669522421 NPPES
North Dakota MEDICAID 55004
North Dakota Other 27405

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