National Provider Identifier Database

MCCORMACK PLASTIC SURGERY
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

MCCORMACK PLASTIC SURGERY
10791 DOUBLE R BOULEVARD
RENO, NV89521
Phone: 775-284-2020
Fax: 775-284-2023
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for MCCORMACK PLASTIC SURGERY

NPI Number 1265698328
Legal business name
LBN
MCCORMACK PLASTIC SURGERY
Authorized official TIFFANY MCCORMACK - (PRESIDIENT)
Entity Organization
Organization subpart No
Enumeration date 07/29/2008
Last updated 05/12/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • NV License #: 12004
  • NV Medicaid: 100513000
  • NV Other: 1083789481 INDIVIDUAL NPI

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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