Mccormick, Janel D
Mccormick, Janel D is an individual health care provider with primary practice located at 500 W Broadway St , Missoula MT 59802-4008. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mccormick, Janel D can be contacted via phone (406) 721-5600.Contact Information
Primary practice address
500 W Broadway St
Missoula MT 59802-4008
Phone: (406) 721-5600
Fax: (406) 327-3065
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 315 | Montana |
Profile Details
NPI number | 1487680054 |
---|---|
LBN Legal business name | Mccormick, Janel D |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 24th, 2006 |
Last updated | Jan 12th, 2016 - about 8 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 | 1487680054 | NPPES |
Montana | MEDICAID | 4300270 |
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