Mccormick, Charles Owen

Mccormick, Charles Owen is an individual health care provider with primary practice located at 30 N Emerson Ave , Greenwood IN 46143-8895. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mccormick, Charles Owen can be contacted via phone (317) 881-3937.

Contact Information

Primary practice address
30 N Emerson Ave Greenwood IN 46143-8895
Phone: (317) 881-3937
Fax: (317) 887-4008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01026314A Indiana

Profile Details

NPI number 1700879830
LBN Legal business name Mccormick, Charles Owen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Feb 1st, 2010 - about 15 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 1700879830 NPPES
Indiana Other 000000011606 MPLAN
Indiana Other 352129520 MPLAN
Indiana Other 000000214798 MPLAN
Indiana Other 180044022 MPLAN
Indiana MEDICAID 100154690 MPLAN
Indiana Other 000000011606 MPLAN
Indiana Other 154727 MPLAN
Indiana Other AETNA MPLAN

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