Mccormack, Jesse

Mccormack, Jesse is an sole proprietor health care provider with primary practice located at 1650 S Amphlett Blvd Ste 108 , San Mateo CA 94402-2514. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Mccormack, Jesse can be contacted via phone (650) 638-9142.

Contact Information

Primary practice address
1650 S Amphlett Blvd Ste 108 San Mateo CA 94402-2514
Phone: (650) 638-9142
Fax: (650) 638-9141
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X LP 1411 California

Profile Details

NPI number 1689092934
LBN Legal business name Mccormack, Jesse
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2014
Last updated Apr 3rd, 2014 - about 10 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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