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
Fax: (406) 728-9409
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932160900 NPPES
Other 81086208059804A003 TRICARE
Other 000011920 TRICARE
MEDICAID 0042965 TRICARE

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