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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669522421 | NPPES |
North Dakota | MEDICAID | 55004 | |
North Dakota | Other | 27405 |
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