Mccoy, Donald Martin
Mccoy, Donald Martin is an sole proprietor health care provider with primary practice located at 1120 Glendale Ln , Nashville TN 37204-4113. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mccoy, Donald Martin can be contacted via phone (615) 907-1833.Contact Information
Primary practice address
1120 Glendale Ln
Nashville TN 37204-4113
Phone: (615) 907-1833
Fax: (615) 907-7365
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 2172 | Tennessee |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2172 | Tennessee |
Profile Details
NPI number | 1568545416 |
---|---|
LBN Legal business name | Mccoy, Donald Martin |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 23rd, 2006 |
Last updated | May 23rd, 2019 - about 6 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 | 1568545416 | NPPES |
Tennessee | MEDICAID | 3981230 |
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