Mccoy, Merandia

Mccoy, Merandia is an sole proprietor health care provider with primary practice located at 30 E Apple St Ste 5254A, Dayton OH 45409-2939. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mccoy, Merandia can be contacted via phone (937) 208-4200.

Contact Information

Primary practice address
30 E Apple St Ste 5254A Dayton OH 45409-2939
Fax: (937) 208-4205
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.17168-NP Ohio

Profile Details

NPI number 1477921013
LBN Legal business name Mccoy, Merandia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2015
Last updated Jan 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477921013 NPPES
Ohio MEDICAID 0143813

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