Mccormack, Timothy J

Mccormack, Timothy J is an individual health care provider with primary practice located at 2 1/2 Beacon St , Concord NH 03301-4447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mccormack, Timothy J can be contacted via phone (603) 228-1521.

Contact Information

Primary practice address
2 1/2 Beacon St Concord NH 03301-4447
Fax: (603) 225-2510
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5940 New Hampshire

Profile Details

NPI number 1992778773
LBN Legal business name Mccormack, Timothy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Sep 26th, 2008 - about 16 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 1992778773 NPPES
New Hampshire MEDICAID 81303222

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