Mccoll, William D

Mccoll, William D is an individual health care provider with primary practice located at 135 W Ravine Rd Suite 5B, Kingsport TN 37660-3847. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Mccoll, William D can be contacted via phone (423) 224-3460.

Contact Information

Primary practice address
135 W Ravine Rd Suite 5B Kingsport TN 37660-3847
Phone: (423) 224-3460
Fax: (423) 224-3465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 9531 Tennessee

Profile Details

NPI number 1659366573
LBN Legal business name Mccoll, William D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Aug 17th, 2010 - about 14 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 1659366573 NPPES
Other 261962 ANTHEM BCBS
MEDICAID 3607752 ANTHEM BCBS
MEDICAID 2603073000 ANTHEM BCBS
Other 74299447 ANTHEM BCBS
Other 3046122 ANTHEM BCBS
MEDICAID 8922837 ANTHEM BCBS
Other 00013859 ANTHEM BCBS
Other TN0100 ANTHEM BCBS

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