Mccarty, Holly J

Mccarty, Holly J is an individual health care provider with primary practice located at 5050 N Clinton St , Fort Wayne IN 46825-5886. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mccarty, Holly J can be contacted via phone (260) 484-8551.

Contact Information

Primary practice address
5050 N Clinton St Fort Wayne IN 46825-5886
Phone: (260) 484-8551
Fax: (260) 482-5060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000739A Indiana

Profile Details

NPI number 1841282647
LBN Legal business name Mccarty, Holly J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Oct 30th, 2018 - about 8 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 1841282647 NPPES
Indiana Other P00199156 MEDICARE RAILROAD PTAN
Indiana MEDICAID 300006039 MEDICARE RAILROAD PTAN

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