Mccormick, Charles Calvin

Mccormick, Charles Calvin is an individual health care provider with primary practice located at 1201 S Miller St , Wenatchee WA 98801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mccormick, Charles Calvin can be contacted via phone (509) 662-1511.

Contact Information

Primary practice address
1201 S Miller St Wenatchee WA 98801
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60741962 Washington

Profile Details

NPI number 1164482832
LBN Legal business name Mccormick, Charles Calvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Jun 7th, 2018 - about 6 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 1164482832 NPPES
Washington MEDICAID 1164482832

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