Macy, John
Macy, John is an individual health care provider with primary practice located at 711 E Collins Dr , Goldendale WA 98620-9237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Macy, John can be contacted via phone (509) 773-4017.Contact Information
Primary practice address
711 E Collins Dr
Goldendale WA 98620-9237
Phone: (509) 773-4017
Fax: (509) 773-1941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00016704 | Washington |
Profile Details
| NPI number | 1649343823 |
|---|---|
| LBN Legal business name | Macy, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Dec 22nd, 2009 - about 16 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 | 1649343823 | NPPES |
| Washington | MEDICAID | 1351907 |
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