Provider Demographics
NPI:1669745519
Name:MCCORMACK CONSULTING
Entity type:Organization
Organization Name:MCCORMACK CONSULTING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELVA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCORMACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-434-1051
Mailing Address - Street 1:PO BOX 3493
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-3493
Mailing Address - Country:US
Mailing Address - Phone:360-434-1051
Mailing Address - Fax:360-437-2345
Practice Address - Street 1:9216 BAYSHORE DR NW
Practice Address - Street 2:SUITE #200
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8533
Practice Address - Country:US
Practice Address - Phone:360-434-1051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-22
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty