Mckay, Lance W

Mckay, Lance W is an individual health care provider with primary practice located at 1151 Hospital Way, Bld D , Pocatello ID 83201-5091. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Mckay, Lance W can be contacted via phone (208) 239-8010.

Contact Information

Primary practice address
1151 Hospital Way, Bld D Pocatello ID 83201-5091
Phone: (208) 239-8010
Fax: (208) 782-2974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-1071 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-1071 Idaho

Profile Details

NPI number 1720379597
LBN Legal business name Mckay, Lance W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2011
Last updated Dec 16th, 2013 - about 11 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 1720379597 NPPES
Arizona Other 3Z5047 HEALTHNET
Arizona MEDICAID 611187 HEALTHNET

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