Macagy, Ian Douglas
Macagy, Ian Douglas is an individual health care provider with primary practice located at 2760 S Elm Ave , Fresno CA 93706-5435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Macagy, Ian Douglas can be contacted via phone (559) 457-5300.Contact Information
Primary practice address
2760 S Elm Ave
Fresno CA 93706-5435
Phone: (559) 457-5300
Fax: (559) 457-5390
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME82522 | Florida |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | G89345 | California |
Profile Details
NPI number | 1912957010 |
---|---|
LBN Legal business name | Macagy, Ian Douglas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2006 |
Last updated | Sep 25th, 2019 - about 5 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 | 1912957010 | NPPES |
Florida | MEDICAID | 261486300 |
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