Mccormack, Mary Lou

Mccormack, Mary Lou is an sole proprietor health care provider with primary practice located at 19 Lakes Street , Nespelem WA 99155. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Mccormack, Mary Lou can be contacted via phone (509) 634-2900.

Contact Information

Primary practice address
19 Lakes Street Nespelem WA 99155
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 60802429 Washington

Profile Details

NPI number 1790293447
LBN Legal business name Mccormack, Mary Lou
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2018
Last updated Jan 16th, 2018 - about 6 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 1790293447 NPPES
Washington Other 60802429 RN

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