Abernathy, Mack
Abernathy, Mack is an individual health care provider with primary practice located at 11059 E Bethany Dr Ste 200 , Aurora CO 80014-2637. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Abernathy, Mack can be contacted via phone (303) 617-2300.Contact Information
Primary practice address
11059 E Bethany Dr Ste 200
Aurora CO 80014-2637
Phone: (303) 617-2300
Fax: (303) 617-2397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1184078180 |
|---|---|
| LBN Legal business name | Abernathy, Mack |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2016 |
| Last updated | Apr 16th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184078180 | NPPES |
| Colorado | MEDICAID | O97820701 |
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