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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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 1508817446 NPPES
Vermont Other P00374825 RAIL ROAD MEDICARE
Vermont MEDICAID 1012592 RAIL ROAD MEDICARE

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