Mccormack, Joan
Mccormack, Joan is an individual health care provider with primary practice located at 990 Paradise Rd Suite 1G, Swampscott MA 01907-1395. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Mccormack, Joan can be contacted via phone (781) 479-6316.Contact Information
Primary practice address
990 Paradise Rd Suite 1G
Swampscott MA 01907-1395
Phone: (781) 479-6316
Fax: (781) 987-7272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 237 | Massachusetts |
Profile Details
| NPI number | 1104853563 |
|---|---|
| LBN Legal business name | Mccormack, Joan |
| Credentials | AU.D, CCC/A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1104853563 | NPPES |
| Massachusetts | MEDICAID | 5102758 |
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