Mccormack, Elizabeth E

Mccormack, Elizabeth E is an sole proprietor health care provider with primary practice located at 14 W Jordan St Suite C, Pensacola FL 32501-1736. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mccormack, Elizabeth E can be contacted via phone (850) 434-0077.

Contact Information

Primary practice address
14 W Jordan St Suite C Pensacola FL 32501-1736
Phone: (850) 434-0077
Fax: (850) 434-0220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3151122 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3151122 Florida

Profile Details

NPI number 1629120217
LBN Legal business name Mccormack, Elizabeth E
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Sep 8th, 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 1629120217 NPPES
Florida Other Y107Y FLORIDA BLUE
Florida MEDICAID 306069100 FLORIDA BLUE

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