Mccormick, Timothy Chad
Mccormick, Timothy Chad is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Mccormick, Timothy Chad can be contacted via phone (254) 724-2111.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | OS015223 | Pennsylvania |
Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | OT013710 | Pennsylvania |
Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | P6032 | Texas |
Profile Details
NPI number | 1073659306 |
---|---|
LBN Legal business name | Mccormick, Timothy Chad |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 30th, 2007 |
Last updated | Jan 28th, 2022 - about 2 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 | 1073659306 | NPPES |
Pennsylvania | Other | 2516221 | HIGHMARK BLUE SHIELD-WMG |
Pennsylvania | MEDICAID | 1024859880001 | HIGHMARK BLUE SHIELD-WMG |
Pennsylvania | Other | 307945 | HIGHMARK BLUE SHIELD-WMG |
Pennsylvania | Other | 30077866 | HIGHMARK BLUE SHIELD-WMG |
Pennsylvania | Other | 1590832 | HIGHMARK BLUE SHIELD-WMG |
Pennsylvania | Other | 415272 | HIGHMARK BLUE SHIELD-WMG |
Pennsylvania | Other | 968832 | HIGHMARK BLUE SHIELD-WMG |
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