Mccall, Marybeth K

Mccall, Marybeth K is an individual health care provider with primary practice located at 1500 N James St , Rome NY 13440-2844. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mccall, Marybeth K can be contacted via phone (315) 338-7232.

Contact Information

Primary practice address
1500 N James St Rome NY 13440-2844
Fax: (315) 338-7629
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 161890 New York

Profile Details

NPI number 1205975539
LBN Legal business name Mccall, Marybeth K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 17 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 1205975539 NPPES
New York MEDICAID 06000161890

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