Mccormack, Michael A
Mccormack, Michael A is an individual health care provider with primary practice located at 7423 S Mason Montgomery Rd , Mason OH 45040-7828. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Mccormack, Michael A can be contacted via phone (513) 347-9999.Contact Information
Primary practice address
7423 S Mason Montgomery Rd
Mason OH 45040-7828
Phone: (513) 347-9999
Fax: (513) 573-9178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT06009 | Ohio |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT002212 | Kentucky |
Profile Details
| NPI number | 1588669394 |
|---|---|
| LBN Legal business name | Mccormack, Michael A |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Jan 24th, 2014 - about 12 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 | 1588669394 | NPPES |
| Ohio | MEDICAID | 2526350 | |
| Ohio | MEDICAID | 8700152500 |
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