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
Phone: (419) 251-4316
Fax: (419) 251-3572
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588660708 | NPPES |
Ohio | Other | 35044594 | OHIO LICENSE # |
Ohio | MEDICAID | 0426024 | OHIO LICENSE # |
Ohio | Other | 207R00000X | OHIO LICENSE # |
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