Mcgill, Herman Ivory
Mcgill, Herman Ivory is an individual health care provider with primary practice located at 923 Mac Dade Blvd , Collingdale PA 19023. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mcgill, Herman Ivory can be contacted via phone (610) 522-1222.Contact Information
Primary practice address
923 Mac Dade Blvd
Collingdale PA 19023
Phone: (610) 522-1222
Fax: (610) 532-3918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD024830E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | MD024830E | Pennsylvania |
Profile Details
| NPI number | 1558443283 |
|---|---|
| LBN Legal business name | Mcgill, Herman Ivory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Jul 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558443283 | NPPES |
| Pennsylvania | MEDICAID | 000863176001 |
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