Mccoy, Kristoffer Gerard
Mccoy, Kristoffer Gerard is an sole proprietor health care provider with primary practice located at 800 Kaliste Saloom Rd , Lafayette LA 70508-4210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mccoy, Kristoffer Gerard can be contacted via phone (337) 233-2400.Contact Information
Primary practice address
800 Kaliste Saloom Rd
Lafayette LA 70508-4210
Phone: (337) 233-2400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 026078 | Louisiana |
Profile Details
| NPI number | 1427086123 |
|---|---|
| LBN Legal business name | Mccoy, Kristoffer Gerard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427086123 | NPPES |
| Louisiana | MEDICAID | 10516991 |
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