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Contact Information

COLE A MCCORMICK, PA
12266 DEPAUL DRIVE SUITE 205
BRIDGETON, MO63044
 Phone: 314-218-2300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for COLE A MCCORMICK · (Male)

NPI # 1811447139
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/11/2016
Last updated 12/12/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2019040259
  • MO Medicaid 220080576
Hospital affiliation(s)
  • BARNES JEWISH HOSPITAL - (Acute Care)
    ONE BARNES-JEWISH HOSPITAL PLAZA
    SAINT LOUIS, MO 63110
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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