Mccormick, John

Mccormick, John is an individual health care provider with primary practice located at 2110 E Northern Lights Blvd , Anchorage AK 99508-4154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mccormick, John can be contacted via phone (907) 563-3700.

Contact Information

Primary practice address
2110 E Northern Lights Blvd Anchorage AK 99508-4154
Fax: (907) 563-3740
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2256 Alaska

Profile Details

NPI number 1144291295
LBN Legal business name Mccormick, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated May 21st, 2019 - about 5 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 1144291295 NPPES
Alaska MEDICAID MD22562

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