Macgillivray, John Douglad
Macgillivray, John Douglad is an sole proprietor health care provider with primary practice located at 523 E 72Nd St , New York NY 10021-4099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Macgillivray, John Douglad can be contacted via phone (212) 606-1896.Contact Information
Primary practice address
523 E 72Nd St
New York NY 10021-4099
Phone: (212) 606-1896
Fax: (212) 774-2778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 188511 | New York |
Profile Details
| NPI number | 1275510182 |
|---|---|
| LBN Legal business name | Macgillivray, John Douglad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Apr 1st, 2021 - about 5 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 | 1275510182 | NPPES |
| New York | MEDICAID | 01946854 |
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