Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 32368 | MA |
N | 207T00000X | Neurosurgeon | 4652 | NH |
NPI | 1124014808 |
---|---|
Provider Name | Dr. William P Mccann |
First Address | Lawrence, MA 01843-1754 |
Second Address | Lawrence, MA 01843-1754 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2005 |
Last Update Date | 06/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00000121 | (05) | NH |
0003742 | NHP (01) | MA |
0035350-001 | CIGNA (01) | MA |
0102587Y0MA01 | ANTHEM (01) | NH |
06-0001 | UHC (01) | MA |
06-00113 | EVERCARE (01) | MA |
12410 | HPHC (01) | MA |
2085836 | (05) | MA |
23593 | FCHP (01) | MA |
4474225 | AETNA (01) | MA |
715260 | THP (01) | MA |
B73706 | (02) | |
D13192 | BCBS (01) | MA |