Mccormick, Michael Jude

Mccormick, Michael Jude is an individual health care provider with primary practice located at 300 Sierra College Dr Suite 235, Grass Valley CA 95945-5082. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Mccormick, Michael Jude can be contacted via phone (530) 273-6530.

Contact Information

Primary practice address
300 Sierra College Dr Suite 235 Grass Valley CA 95945-5082
Phone: (530) 273-6530
Fax: (530) 273-3951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X A068844 California

Profile Details

NPI number 1235215302
LBN Legal business name Mccormick, Michael Jude
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Sep 14th, 2018 - about 6 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 1235215302 NPPES
California MEDICAID GR0100570
California MEDICAID GR0100571

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