Mccoy, Jerry Todd

Mccoy, Jerry Todd is an individual health care provider with primary practice located at 4705 Meijer Ct , Lafayette IN 47905-4684. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Mccoy, Jerry Todd can be contacted via phone (765) 701-6060.

Contact Information

Primary practice address
4705 Meijer Ct Lafayette IN 47905-4684
Phone: (765) 701-6060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Indiana

Profile Details

NPI number 1154904373
LBN Legal business name Mccoy, Jerry Todd
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2021
Last updated May 5th, 2021 - about 4 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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