Mccoy, Jonathan

Mccoy, Jonathan is an individual health care provider with primary practice located at 7556 Teague Rd Suite 450, Hanover MD 21076-1213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mccoy, Jonathan can be contacted via phone (410) 553-8265.

Contact Information

Primary practice address
7556 Teague Rd Suite 450 Hanover MD 21076-1213
Phone: (410) 553-8265
Fax: (410) 553-8267
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0055417 Maryland

Profile Details

NPI number 1700815313
LBN Legal business name Mccoy, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Sep 29th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700815313 NPPES
Maryland Other KC64AR R366 0007 BLUE CROSS
Maryland MEDICAID 441505100 BLUE CROSS

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