Mccormick, Thomas Vance

Mccormick, Thomas Vance is an individual health care provider with primary practice located at 801 E Williams Ave , Fallon NV 89406-3052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mccormick, Thomas Vance can be contacted via phone (775) 867-7740.

Contact Information

Primary practice address
801 E Williams Ave Fallon NV 89406-3052
Phone: (775) 867-7740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 10211 Nevada

Profile Details

NPI number 1093814527
LBN Legal business name Mccormick, Thomas Vance
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Dec 12th, 2019 - about 7 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 1093814527 NPPES
Other 11041135 CAQH
Other 1093814527 CAQH

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