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
Phone: (301) 665-4731
Fax: (301) 665-4711
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821018821 | NPPES |
| Maryland | MEDICAID | 152761400 | |
| Maryland | Other | 0005 F288 | |
| Maryland | Other | 523047-01 | |
| Maryland | Other | 900000660 |
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