Malloy-Mccoy, Marty Elijah
Malloy-Mccoy, Marty Elijah is an sole proprietor health care provider with primary practice located at 1320 W Main St , Newark OH 43055-1822. He recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Malloy-Mccoy, Marty Elijah can be contacted via phone (220) 564-4226.Contact Information
Primary practice address
1320 W Main St
Newark OH 43055-1822
Phone: (220) 564-4226
Fax: (220) 564-4226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN.CNP.0027784 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | APRNCRNA019508 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | APRN.CRNA.019508 | Ohio |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN382689 | Ohio |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN.382689 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APRN.CNP.0027784 | Ohio |
Profile Details
| NPI number | 1184152225 |
|---|---|
| LBN Legal business name | Malloy-Mccoy, Marty Elijah |
| Credentials | APRN, CRNA, CNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2017 |
| Last updated | Dec 21st, 2020 - about 4 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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