Macagy, Ian Douglas

Macagy, Ian Douglas is an individual health care provider with primary practice located at 2760 S Elm Ave , Fresno CA 93706-5435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Macagy, Ian Douglas can be contacted via phone (559) 457-5300.

Contact Information

Primary practice address
2760 S Elm Ave Fresno CA 93706-5435
Phone: (559) 457-5300
Fax: (559) 457-5390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME82522 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G89345 California

Profile Details

NPI number 1912957010
LBN Legal business name Macagy, Ian Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Sep 25th, 2019 - about 7 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 1912957010 NPPES
Florida MEDICAID 261486300

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