Mccoy, Robert N

Mccoy, Robert N is an individual health care provider with primary practice located at 1800 Buckner St Suite C120, Shreveport LA 71101-4440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mccoy, Robert N can be contacted via phone (318) 227-8899.

Contact Information

Primary practice address
1800 Buckner St Suite C120 Shreveport LA 71101-4440
Phone: (318) 227-8899
Fax: (318) 222-0407
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 05128R Louisiana

Profile Details

NPI number 1679560379
LBN Legal business name Mccoy, Robert N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Jul 1st, 2010 - about 14 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 1679560379 NPPES
Other A007 CHAMPUS
Other 721404303MC1 CHAMPUS
Other 3100064 CHAMPUS
Other 390005505 CHAMPUS
MEDICAID 1313548 CHAMPUS
Other 053664101 CHAMPUS

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