Mccormack, William J

Mccormack, William J is an individual health care provider with primary practice located at 275 18Th Street Suite 103, Vero Beach FL 32960-0824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mccormack, William J can be contacted via phone (772) 567-6181.

Contact Information

Primary practice address
275 18Th Street Suite 103 Vero Beach FL 32960-0824
Phone: (772) 567-6181
Fax: (772) 567-8242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME0059271 Florida

Profile Details

NPI number 1922102292
LBN Legal business name Mccormack, William J
Credentials M.D., PA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Jan 23rd, 2009 - about 17 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 1922102292 NPPES
Florida MEDICAID 052486700

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