Mccoy, Craig William
Mccoy, Craig William is an individual health care provider with primary practice located at 2825 Fort Missoula Road Suite 217, Missoula MT 59804-7403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mccoy, Craig William can be contacted via phone (406) 728-8170.Contact Information
Primary practice address
2825 Fort Missoula Road Suite 217
Missoula MT 59804-7403
Phone: (406) 728-8170
Fax: (406) 728-9409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 4251 | Montana |
Profile Details
| NPI number | 1932160900 |
|---|---|
| LBN Legal business name | Mccoy, Craig William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Jul 24th, 2009 - about 17 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 | 1932160900 | NPPES |
| Other | 81086208059804A003 | TRICARE | |
| Other | 000011920 | TRICARE | |
| MEDICAID | 0042965 | TRICARE |
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