Mccoy, Paul Michael

Mccoy, Paul Michael is an individual health care provider with primary practice located at 2300 53Rd Ave Ste 100 , Bettendorf IA 52722-7565. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Mccoy, Paul Michael can be contacted via phone (563) 322-0971.

Contact Information

Primary practice address
2300 53Rd Ave Ste 100 Bettendorf IA 52722-7565
Phone: (563) 322-0971
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-004833 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2011025935 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002261 Iowa

Profile Details

NPI number 1649550518
LBN Legal business name Mccoy, Paul Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2011
Last updated Jan 3rd, 2024 - about 2 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 1649550518 NPPES
Iowa Other 002261 STATE LICENSE

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