Mccormack, Mary Eileen

Mccormack, Mary Eileen is an individual health care provider with primary practice located at 800 W Burrell Dr , Crown Point IN 46307-8898. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Mccormack, Mary Eileen can be contacted via phone (219) 663-9913.

Contact Information

Primary practice address
800 W Burrell Dr Crown Point IN 46307-8898
Phone: (219) 663-9913
Fax: (219) 663-9923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 02001585A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 02001585A Indiana

Profile Details

NPI number 1104939958
LBN Legal business name Mccormack, Mary Eileen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jan 16th, 2024 - about last year

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 1104939958 NPPES
Indiana Other 000000088456 ANTHEM BC/BS
Indiana Other M47140040 ANTHEM BC/BS
Indiana MEDICAID 200017580A ANTHEM BC/BS
Indiana Other 160057113 ANTHEM BC/BS

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