Mccoy, Mack

Mccoy, Mack is an sole proprietor health care provider with primary practice located at 2 Wharton Ct , Irvine CA 92617-4108. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Mccoy, Mack can be contacted via phone (949) 371-6225.

Contact Information

Primary practice address
2 Wharton Ct Irvine CA 92617-4108
Phone: (949) 371-6225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 74342 California

Profile Details

NPI number 1679248082
LBN Legal business name Mccoy, Mack
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2021
Last updated Aug 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679248082 NPPES
California Other 74342 CAMTC CERTIFICATION
California Other 1445509 CAMTC CERTIFICATION

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