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
Fax: (406) 327-3065
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487680054 NPPES
Montana MEDICAID 4300270

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