Mccormack, Guy Louis

Mccormack, Guy Louis is an individual health care provider with primary practice located at 300 Portland St Suite 110 Thompson Center, Columbia MO 65211. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Mccormack, Guy Louis can be contacted via phone (573) 882-6081.

Contact Information

Primary practice address
300 Portland St Suite 110 Thompson Center Columbia MO 65211
Phone: (573) 882-6081
Fax: (573) 884-2610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2003030520 Missouri

Profile Details

NPI number 1609051804
LBN Legal business name Mccormack, Guy Louis
Credentials PHD OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2008
Last updated Jan 29th, 2008 - about 17 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 1609051804 NPPES
Other AA223834 AOTA CERTIFICATION

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