Mcivor, John W
Mcivor, John W is an individual health care provider with primary practice located at 301 E Main St , Bay Shore NY 11706-8408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mcivor, John W can be contacted via phone (952) 595-1100.Contact Information
Primary practice address
301 E Main St
Bay Shore NY 11706-8408
Phone: (952) 595-1100
Fax: (952) 942-3361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 093421 | New York |
Profile Details
| NPI number | 1184607426 |
|---|---|
| LBN Legal business name | Mcivor, John W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Jan 19th, 2011 - 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 | 1184607426 | NPPES |
| New York | MEDICAID | 00387279 |
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