Mccormick, Jeffrey Reed
Mccormick, Jeffrey Reed is an individual health care provider with primary practice located at 1606 Kanawha Blvd W , Charleston WV 25387-2536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mccormick, Jeffrey Reed can be contacted via phone (304) 768-8523.Contact Information
Primary practice address
1606 Kanawha Blvd W
Charleston WV 25387-2536
Phone: (304) 768-8523
Fax: (304) 941-1918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1601 | West Virginia |
Profile Details
| NPI number | 1336118587 |
|---|---|
| LBN Legal business name | Mccormick, Jeffrey Reed |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Oct 23rd, 2015 - about 11 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 | 1336118587 | NPPES |
| West Virginia | MEDICAID | 0048360000 |
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