Mccoy, Derek Andrew

Mccoy, Derek Andrew is an individual health care provider with primary practice located at 4C North Ave Ste 403 , Bel Air MD 21014-2333. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Mccoy, Derek Andrew can be contacted via phone (443) 377-8624.

Contact Information

Primary practice address
4C North Ave Ste 403 Bel Air MD 21014-2333
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X D0073454 Maryland

Profile Details

NPI number 1285827261
LBN Legal business name Mccoy, Derek Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2007
Last updated Nov 1st, 2023 - about last year

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 1285827261 NPPES
Maryland MEDICAID 325119500

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