Mccormick, Thomas Edward
Mccormick, Thomas Edward is an sole proprietor health care provider with primary practice located at 57 Chestnut Ave , Rutland VT 05701-3409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Mccormick, Thomas Edward can be contacted via phone (802) 775-4000.Contact Information
Primary practice address
57 Chestnut Ave
Rutland VT 05701-3409
Phone: (802) 775-4000
Fax: (802) 775-5472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | 420007175 | Vermont |
Profile Details
| NPI number | 1386675189 |
|---|---|
| LBN Legal business name | Mccormick, Thomas Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1386675189 | NPPES |
| Vermont | MEDICAID | 6185 |
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