Mccormick, Shelly C
Mccormick, Shelly C is an individual health care provider with primary practice located at 503 Mcmillan Rd , West Monroe LA 71291. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Mccormick, Shelly C can be contacted via phone (318) 329-8310.Contact Information
Primary practice address
503 Mcmillan Rd
West Monroe LA 71291
Phone: (318) 329-8310
Fax: (318) 329-8313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 30575 | Mississippi |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 35C.000651 | Ohio |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 021354 | Louisiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 021354 | Louisiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35C.000651 | Ohio |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 30575 | Mississippi |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 021354 | Louisiana |
Profile Details
| NPI number | 1790778496 |
|---|---|
| LBN Legal business name | Mccormick, Shelly C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Jun 14th, 2024 - about last year |
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 | 1790778496 | NPPES |
| Ohio | MEDICAID | 0024372 | |
| Ohio | MEDICAID | 1551104 |
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