Wormack, Cassandra

Wormack, Cassandra is an individual health care provider with primary practice located at 2205 Jolly Rd Ste. B, Okemos MI 48864-3983. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Wormack, Cassandra can be contacted via phone (517) 347-4085.

Contact Information

Primary practice address
2205 Jolly Rd Ste. B Okemos MI 48864-3983
Phone: (517) 347-4085
Fax: (517) 347-4170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301072467 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301072467 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301072467 Michigan

Profile Details

NPI number 1023217437
LBN Legal business name Wormack, Cassandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2007
Last updated Nov 1st, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023217437 NPPES
Michigan MEDICAID 5199852

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