Staten-Mccormick, Mary B

Staten-Mccormick, Mary B is an individual health care provider with primary practice located at 125 S Kalamazoo Mall Suite 204, Kalamazoo MI 49007-4832. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Staten-Mccormick, Mary B can be contacted via phone (269) 343-3900.

Contact Information

Primary practice address
125 S Kalamazoo Mall Suite 204 Kalamazoo MI 49007-4832
Phone: (269) 343-3900
Fax: (269) 343-5640
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301046064 Michigan

Profile Details

NPI number 1386686368
LBN Legal business name Staten-Mccormick, Mary B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Mar 25th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386686368 NPPES
Michigan MEDICAID 10/2698723
Michigan MEDICAID 104686810

Popular Providers