Mccormick, Sandra L
Mccormick, Sandra L is an individual health care provider with primary practice located at 19550 E 39Th St S Suite 245, Independence MO 64057-2358. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mccormick, Sandra L can be contacted via phone (816) 373-0655.Contact Information
Primary practice address
19550 E 39Th St S Suite 245
Independence MO 64057-2358
Phone: (816) 373-0655
Fax: (816) 478-6374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 069917 | Missouri |
Profile Details
| NPI number | 1942264718 |
|---|---|
| LBN Legal business name | Mccormick, Sandra L |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Jan 21st, 2022 - about 4 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 | 1942264718 | NPPES |
| Missouri | MEDICAID | 595956202 | |
| Missouri | MEDICAID | 010568509 | |
| Missouri | MEDICAID | 200608400A | |
| Missouri | Other | 34655011 | |
| Missouri | MEDICAID | 540568508 | |
| Missouri | MEDICAID | 595985805 | |
| Missouri | MEDICAID | 427629407 | |
| Missouri | MEDICAID | 595956103 | |
| Missouri | Other | 34655021 | |
| Missouri | Other | 34655041 | |
| Missouri | MEDICAID | 599225901 | |
| Missouri | MEDICAID | 595956400 |
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