Mccoy, Kristian Frederick

Mccoy, Kristian Frederick is an individual health care provider with primary practice located at 9 Boston Street , Lynn MA 01904-2536. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mccoy, Kristian Frederick can be contacted via phone (781) 592-8089.

Contact Information

Primary practice address
9 Boston Street Lynn MA 01904-2536
Fax: (781) 592-8091
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH1982 Massachusetts

Profile Details

NPI number 1831231349
LBN Legal business name Mccoy, Kristian Frederick
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 2007 - about 19 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 1831231349 NPPES
Massachusetts MEDICAID 1606824
Massachusetts Other AA28215
Massachusetts Other Y36415

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