Carmack, John F

Carmack, John F is an individual health care provider with primary practice located at 1175 Corporate Park Dr , Forest VA 24551-2238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carmack, John F can be contacted via phone (434) 525-6964.

Contact Information

Primary practice address
1175 Corporate Park Dr Forest VA 24551-2238
Fax: (434) 525-4035
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101045367 Virginia

Profile Details

NPI number 1639152812
LBN Legal business name Carmack, John F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Aug 13th, 2013 - about 12 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 1639152812 NPPES
Other 066035 ANTHEM
Other 080167980 ANTHEM
MEDICAID 005601746 ANTHEM

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