Mccoll, Milton Bird
Mccoll, Milton Bird is an sole proprietor health care provider with primary practice located at 455 Oconnor Dr Ste 200 , San Jose CA 95128-1632. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Mccoll, Milton Bird can be contacted via phone (408) 283-7676.Contact Information
Primary practice address
455 Oconnor Dr Ste 200
San Jose CA 95128-1632
Phone: (408) 283-7676
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 62712 | Arizona |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | GFE68043 | California |
Profile Details
| NPI number | 1720402977 |
|---|---|
| LBN Legal business name | Mccoll, Milton Bird |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2014 |
| Last updated | Apr 30th, 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 | 1720402977 | NPPES |
| California | Other | G68043 | CA PHYSICIAN AND SURGEON LICENSE |
| California | Other | 62712 | CA PHYSICIAN AND SURGEON LICENSE |
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