Mccormack, Michael J

Mccormack, Michael J is an individual health care provider with primary practice located at 11110 Medical Campus Rd Ste 130, Hagerstown MD 21742-6700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Mccormack, Michael J can be contacted via phone (301) 665-4731.

Contact Information

Primary practice address
11110 Medical Campus Rd Ste 130 Hagerstown MD 21742-6700
Fax: (301) 665-4711
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0041667 Maryland
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X D0041667 Maryland

Profile Details

NPI number 1821018821
LBN Legal business name Mccormack, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jan 23rd, 2015 - about 10 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 1821018821 NPPES
Maryland MEDICAID 152761400
Maryland Other 0005 F288
Maryland Other 523047-01
Maryland Other 900000660

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