Mccormack, Michelle Lee

Mccormack, Michelle Lee is an individual health care provider with primary practice located at 519 Shepherds Drive , West Bend WI 53090. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Mccormack, Michelle Lee can be contacted via phone (262) 306-9775.

Contact Information

Primary practice address
519 Shepherds Drive West Bend WI 53090
Phone: (262) 306-9775
Fax: (262) 306-9183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3492012 Wisconsin

Profile Details

NPI number 1669556601
LBN Legal business name Mccormack, Michelle Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Jul 8th, 2007 - about 18 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 1669556601 NPPES
Wisconsin MEDICAID 38920200

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