Mccormack, Michael Patrick

Mccormack, Michael Patrick is an individual health care provider with primary practice located at 1330 Mercy Dr Nw Suite 522, Canton OH 44708-2626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Mccormack, Michael Patrick can be contacted via phone (330) 588-4856.

Contact Information

Primary practice address
1330 Mercy Dr Nw Suite 522 Canton OH 44708-2626
Phone: (330) 588-4856
Fax: (330) 588-4857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 34.009124 Ohio

Profile Details

NPI number 1922135136
LBN Legal business name Mccormack, Michael Patrick
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jun 28th, 2012 - about 14 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 1922135136 NPPES
Ohio MEDICAID 2955128
Ohio Other P00935266

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