Mccormick, Chad D

Mccormick, Chad D is an individual health care provider with primary practice located at 849 N Syringa St , Post Falls ID 83854-8794. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Mccormick, Chad D can be contacted via phone (208) 777-1320.

Contact Information

Primary practice address
849 N Syringa St Post Falls ID 83854-8794
Fax: (208) 777-1322
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X M9014 Idaho

Profile Details

NPI number 1538165139
LBN Legal business name Mccormick, Chad D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Feb 6th, 2024 - about 10 months 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 1538165139 NPPES
Montana Other 0083113 MEDICAID
Montana Other 8409260 MEDICAID

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