Mcvay, Mark Timothy

Mcvay, Mark Timothy is an individual health care provider with primary practice located at 260 Hospital Dr Ste 204 , Ukiah CA 95482-4568. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcvay, Mark Timothy can be contacted via phone (707) 467-5220.

Contact Information

Primary practice address
260 Hospital Dr Ste 204 Ukiah CA 95482-4568
Phone: (707) 467-5220
Fax: (707) 468-9179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A22842 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 05-32303 Kansas

Profile Details

NPI number 1841255056
LBN Legal business name Mcvay, Mark Timothy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Apr 30th, 2024 - about 7 months 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 1841255056 NPPES
Kansas MEDICAID 200424580C
Kansas MEDICAID 445723

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