Individual
DR. MICHAEL JAMES MCCORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
24 WILSON AVE, WASHINGTON, PA 15301
(724) 223-9700
Mailing address
24 WILSON AVE, WASHINGTON, PA 15301-3335
(724) 223-9700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009810
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025676
MEDICARE ID
PA
01
—
123623YGC1
PTAN
—
Enumeration date
10/17/2006
Last updated
08/09/2024
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