Mccormick, Jeffrey Reed

Mccormick, Jeffrey Reed is an individual health care provider with primary practice located at 1606 Kanawha Blvd W , Charleston WV 25387-2536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mccormick, Jeffrey Reed can be contacted via phone (304) 768-8523.

Contact Information

Primary practice address
1606 Kanawha Blvd W Charleston WV 25387-2536
Phone: (304) 768-8523
Fax: (304) 941-1918
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1601 West Virginia

Profile Details

NPI number 1336118587
LBN Legal business name Mccormick, Jeffrey Reed
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Oct 23rd, 2015 - about 9 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 1336118587 NPPES
West Virginia MEDICAID 0048360000

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