Mccormick, Colleen Catherine

Mccormick, Colleen Catherine is an individual health care provider with primary practice located at 4940 Eastern Ave , Baltimore MD 21224-2735. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Mccormick, Colleen Catherine can be contacted via phone (410) 550-5568.

Contact Information

Primary practice address
4940 Eastern Ave Baltimore MD 21224-2735
Phone: (410) 550-5568
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X MD29172 Oregon
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X MD2021-1008 New Mexico
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D64772 Maryland

Profile Details

NPI number 1740362052
LBN Legal business name Mccormick, Colleen Catherine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jun 6th, 2024 - about 5 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 1740362052 NPPES
Oregon MEDICAID 500607350
Oregon Other D64772
Oregon MEDICAID 2001733

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