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Contact Information

CHARLES C MCCORMICK, MD
1201 S MILLER ST
WENATCHEE, WA98801
 Phone: 509-662-1511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CHARLES C MCCORMICK · (Male)

NPI Number 1164482832
Status Active
Credentials MD
Entity Individual
Enumeration date 03/25/2006
Last updated 06/07/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD60741962
  • WA Medicaid 1164482832
Hospital affiliation(s)
  • CENTRAL WASHINGTON HOSPITAL - (Acute Care)
    1201 SOUTH MILLER STREET
    WENATCHEE, WA 98807
  • WENATCHEE VALLEY HOSPITAL - (Acute Care)
    820 NORTH CHELAN AVENUE
    WENATCHEE, WA 98801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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