Mccormick, Gregory
Mccormick, Gregory is an individual health care provider with primary practice located at 54 Timber Ln , South Burlington VT 05403-7204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mccormick, Gregory can be contacted via phone (802) 864-2010.Contact Information
Primary practice address
54 Timber Ln
South Burlington VT 05403-7204
Phone: (802) 864-2010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 420011111 | Vermont |
Profile Details
| NPI number | 1508817446 |
|---|---|
| LBN Legal business name | Mccormick, Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Feb 22nd, 2008 - about 17 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 | 1508817446 | NPPES |
| Vermont | Other | P00374825 | RAIL ROAD MEDICARE |
| Vermont | MEDICAID | 1012592 | RAIL ROAD MEDICARE |
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