Macgregor, Tack D

Macgregor, Tack D is an individual health care provider with primary practice located at 4501 N University Ave , Provo UT 84604-5504. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as his primary health care specialty. Macgregor, Tack D can be contacted via phone (801) 932-2582.

Contact Information

Primary practice address
4501 N University Ave Provo UT 84604-5504
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 5554957-3102 Utah

Profile Details

NPI number 1659914356
LBN Legal business name Macgregor, Tack D
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2019
Last updated Oct 25th, 2019 - about 5 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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