Mccarty, Douglas Gordon

Mccarty, Douglas Gordon is an sole proprietor health care provider with primary practice located at 12980 Frederick St Ste I , Moreno Valley CA 92553-5263. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mccarty, Douglas Gordon can be contacted via phone (951) 924-3244.

Contact Information

Primary practice address
12980 Frederick St Ste I Moreno Valley CA 92553-5263
Phone: (951) 924-3244
Fax: (951) 243-6976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA11412 California

Profile Details

NPI number 1043315880
LBN Legal business name Mccarty, Douglas Gordon
Credentials PHYSICAN ASSISTANT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2006
Last updated Jul 8th, 2007 - about 19 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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