Mccormack, Brian J
Mccormack, Brian J is an individual health care provider with primary practice located at 21 Locust St , Reno NV 89502-1316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mccormack, Brian J can be contacted via phone (775) 982-5000.Contact Information
Primary practice address
21 Locust St
Reno NV 89502-1316
Phone: (775) 982-5000
Fax: (775) 982-3900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4977 | Nevada |
Profile Details
| NPI number | 1932107471 |
|---|---|
| LBN Legal business name | Mccormack, Brian J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Dec 10th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932107471 | NPPES |
| Other | 11041133 | CAQH | |
| Other | P00330270 | CAQH |
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