Mccann, Brigid Ethel
Mccann, Brigid Ethel is an individual health care provider with primary practice located at Fort Defiance Phs Hospital Corner Of Rt N12 N7, Fort Defiance AZ 86504. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Mccann, Brigid Ethel can be contacted via phone (928) 729-8885.Contact Information
Primary practice address
Fort Defiance Phs Hospital Corner Of Rt N12 N7
Fort Defiance AZ 86504
Phone: (928) 729-8885
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 53002 | New York |
Profile Details
| NPI number | 1952480626 |
|---|---|
| LBN Legal business name | Mccann, Brigid Ethel |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1952480626 | NPPES |
| Arizona | MEDICAID | 126970 | |
| Arizona | MEDICAID | 95373861 |
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