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
Phone: (208) 777-1320
Fax: (208) 777-1322
Website:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538165139 | NPPES |
Montana | Other | 0083113 | MEDICAID |
Montana | Other | 8409260 | MEDICAID |
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