Mccoy, Chandra A.
Mccoy, Chandra A. is an sole proprietor health care provider with primary practice located at 1 Plaza Dr , Ravenswood WV 26164-1718. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Mccoy, Chandra A. can be contacted via phone (304) 273-9301.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 069902841 | West Virginia |
Profile Details
| NPI number | 1396378477 |
|---|---|
| LBN Legal business name | Mccoy, Chandra A. |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2020 |
| Last updated | Nov 27th, 2023 - 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 | 1396378477 | NPPES |
| Other | 069902841 | NATABOC |
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