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
Phone: (443) 377-8624
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285827261 | NPPES |
Maryland | MEDICAID | 325119500 |
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