William McCoy
Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Jackson, MO
NPI 1083078786 · NPPES record last updated Apr 8, 2016
Key facts
- NPI
- 1083078786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Practice address
- 415 W Main St
Suite B
Jackson, MO 63755-1801 - Phone
- (573) 290-2841
- Fax
- (573) 290-2881
- NPI assigned
- Apr 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ae Wellness, LLC | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
415 W Main St
Suite B
Jackson, MO 63755-1801
Mailing address
415 W Main St
Suite B
Jackson, MO 63755-1801
Phone (573) 290-2841
Other providers in Jackson, MO
- Shelley Rae Martini
- Amy Elizabeth Massa
- Jolie McCallister
- Karen McClellan
- Jamie McCoy
- Kathy A McCuan
- E F McDonald Jr.
- Nicole Rae McDonald
- Alexandrea Margaret McGahey
- McIntosh Spine and Joint, LLC
All providers in Jackson, MO · Durable Medical Equipment & Medical Supplies in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.