Green, Mack

Green, Mack is an individual health care provider with primary practice located at 16008 Kamana Rd Suite 100, Apple Valley CA 92307-1376. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Green, Mack can be contacted via phone (760) 956-5200.

Contact Information

Primary practice address
16008 Kamana Rd Suite 100 Apple Valley CA 92307-1376
Phone: (760) 956-5200
Fax: (760) 669-0793
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X A1259029 California

Profile Details

NPI number 1043531676
LBN Legal business name Green, Mack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2010
Last updated Sep 28th, 2015 - about 9 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.

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