Mccoy, Bruce Phillip
Mccoy, Bruce Phillip is an individual health care provider with primary practice located at 526 North Elam Avenue Suite 201, Greensboro NC 27403-1132. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Mccoy, Bruce Phillip can be contacted via phone (336) 855-6131.Contact Information
Primary practice address
526 North Elam Avenue Suite 201
Greensboro NC 27403-1132
Phone: (336) 855-6131
Fax: (336) 855-6132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 24271 | North Carolina |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 24271 | North Carolina |
Profile Details
| NPI number | 1750439188 |
|---|---|
| LBN Legal business name | Mccoy, Bruce Phillip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 16th, 2016 - about 10 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 | 1750439188 | NPPES |
| North Carolina | Other | 7393398 | AETNA |
| North Carolina | Other | 4431617002 | AETNA |
| North Carolina | Other | 55821 | AETNA |
| North Carolina | MEDICAID | 8955821 | AETNA |
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