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Contact Information

MICHAEL L MCCOY, PA-C
2 MEDICAL PLAZA DRIVE
SUITE 264
ROSEVILLE, CA95661
 Phone: 916-797-7555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHAEL L MCCOY · (Male)

NPI # 1033358304
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/11/2009
Last updated 02/11/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PA 16323
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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