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:
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Health care specialties

SpecialtyCodeLicense #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 9 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 1649387887 NPPES
North Carolina MEDICAID 5907945
North Carolina MEDICAID N01425
North Carolina Other P00801959

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