Mccormick, Diane A
Mccormick, Diane A is an individual health care provider with primary practice located at 6011 Renaissance Pl , Toledo OH 43623-4720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Mccormick, Diane A can be contacted via phone (419) 885-5929.Contact Information
Primary practice address
6011 Renaissance Pl
Toledo OH 43623-4720
Phone: (419) 885-5929
Fax: (419) 824-6436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 35055529 | Ohio |
Profile Details
| NPI number | 1114971140 |
|---|---|
| LBN Legal business name | Mccormick, Diane A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Jan 18th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114971140 | NPPES |
| Ohio | MEDICAID | 0785217 |
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