Mccoy, Rachelle D

Mccoy, Rachelle D is an individual health care provider with primary practice located at 900 S Deer Rd , Macomb IL 61455-2639. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Case Management, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Case Management is her primary health care specialty. Mccoy, Rachelle D can be contacted via phone (309) 837-4876.

Contact Information

Primary practice address
900 S Deer Rd Macomb IL 61455-2639
Phone: (309) 837-4876
Fax: (309) 833-1531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 041.254419 Illinois
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 041.254419 Illinois

Profile Details

NPI number 1629292156
LBN Legal business name Mccoy, Rachelle D
Credentials Registered Nurse Certified (RNC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Apr 14th, 2009 - about 15 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 1629292156 NPPES
Illinois Other 041.254419 R N LICENSE
Illinois Other 370984175 R N LICENSE

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