Mccoy, Amy Annelle
Mccoy, Amy Annelle is an individual health care provider with primary practice located at 630 Jacksonville Dr , Jacksonville Beach FL 32250-3814. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mccoy, Amy Annelle can be contacted via phone (904) 249-4645.Contact Information
Primary practice address
630 Jacksonville Dr
Jacksonville Beach FL 32250-3814
Phone: (904) 249-4645
Fax: (904) 249-6613
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS10854 | Florida |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101015955 | Michigan |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2007-01425 | North Carolina |
Profile Details
NPI number | 1649387887 |
---|---|
LBN Legal business name | Mccoy, Amy Annelle |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 24th, 2006 |
Last updated | May 31st, 2016 - about 8 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 | 1649387887 | NPPES |
North Carolina | MEDICAID | 5907945 | |
North Carolina | MEDICAID | N01425 | |
North Carolina | Other | P00801959 |
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