Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | F1-0000209 | DE |
Y | 213ER0200X | Radiology | F1-0000209 | DE |
NPI | 1215036272 |
---|---|
Provider Name | Richard C Mckay |
First Address | Newark, DE 19713-2062 |
Second Address | Newark, DE 19713-2062 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U23642 | (02) | DE |