Mccormick, Richard Mark
Mccormick, Richard Mark is an individual health care provider with primary practice located at 4950 Old Collinsville Rd , Swansea IL 62226-2025. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Mccormick, Richard Mark can be contacted via phone (618) 624-4060.Contact Information
Primary practice address
4950 Old Collinsville Rd
Swansea IL 62226-2025
Phone: (618) 624-4060
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180.006978 | Illinois |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2005030089 | Missouri |
Profile Details
| NPI number | 1790799419 |
|---|---|
| LBN Legal business name | Mccormick, Richard Mark |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Sep 3rd, 2008 - about 18 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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