Mccormick, Thomas R
Mccormick, Thomas R is an individual health care provider with primary practice located at 24001 Greater Mack Ave Ste B, St Clair Shores MI 48080-1407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Mccormick, Thomas R can be contacted via phone (586) 774-5050.Contact Information
Primary practice address
24001 Greater Mack Ave Ste B
St Clair Shores MI 48080-1407
Phone: (586) 774-5050
Fax: (586) 774-1808
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 041143 | Michigan |
Profile Details
NPI number | 1275537532 |
---|---|
LBN Legal business name | Mccormick, Thomas R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2005 |
Last updated | Jul 15th, 2010 - about 14 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 | 1275537532 | NPPES |
Michigan | MEDICAID | 3021701 TYPE 10 |
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