Mccormack, Rebecca

Mccormack, Rebecca is an individual health care provider with primary practice located at 12715 Warwick Blvd Suite V, Newport News VA 23606-1800. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Mccormack, Rebecca can be contacted via phone (757) 930-0139.

Contact Information

Primary practice address
12715 Warwick Blvd Suite V Newport News VA 23606-1800
Fax: (757) 930-4132
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X 186930 2006 Virginia

Profile Details

NPI number 1326093139
LBN Legal business name Mccormack, Rebecca
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Dec 3rd, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326093139 NPPES
Virginia MEDICAID 9112979

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