Mccormick, Randall

Mccormick, Randall is an individual health care provider with primary practice located at 2409 Cherry St Suite 207, Toledo OH 43608-2625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mccormick, Randall can be contacted via phone (419) 251-4316.

Contact Information

Primary practice address
2409 Cherry St Suite 207 Toledo OH 43608-2625
Fax: (419) 251-3572
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35044594 Ohio

Profile Details

NPI number 1588660708
LBN Legal business name Mccormick, Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Nov 1st, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588660708 NPPES
Ohio Other 35044594 OHIO LICENSE #
Ohio MEDICAID 0426024 OHIO LICENSE #
Ohio Other 207R00000X OHIO LICENSE #

Popular Providers