Mccormack, John M
Mccormack, John M is an individual health care provider with primary practice located at 805 Kentucky Ave. , West Plains MO 65775. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Mccormack, John M can be contacted via phone (417) 256-2111.Contact Information
Primary practice address
805 Kentucky Ave.
West Plains MO 65775
Phone: (417) 256-2111
Fax: (417) 256-4858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | R3B70 | Missouri |
Profile Details
| NPI number | 1477558054 |
|---|---|
| LBN Legal business name | Mccormack, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jan 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477558054 | NPPES |
| Other | P00207389 | MEDICARE RR | |
| MEDICAID | 599022307 | MEDICARE RR | |
| MEDICAID | 201249521 | MEDICARE RR | |
| MEDICAID | 599022308 | MEDICARE RR |
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