Mccarty, Douglas Gordon
Mccarty, Douglas Gordon is an sole proprietor health care provider with primary practice located at 12980 Frederick St Ste I , Moreno Valley CA 92553-5263. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mccarty, Douglas Gordon can be contacted via phone (951) 924-3244.Contact Information
Primary practice address
12980 Frederick St Ste I
Moreno Valley CA 92553-5263
Phone: (951) 924-3244
Fax: (951) 243-6976
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA11412 | California |
Profile Details
NPI number | 1043315880 |
---|---|
LBN Legal business name | Mccarty, Douglas Gordon |
Credentials | PHYSICAN ASSISTANT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 14th, 2006 |
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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