Mack, Adam George
Mack, Adam George is an individual health care provider with primary practice located at 2637 Midpoint Dr Ste B , Fort Collins CO 80525-4408. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Mack, Adam George can be contacted via phone (970) 488-1666.Contact Information
Primary practice address
2637 Midpoint Dr Ste B
Fort Collins CO 80525-4408
Phone: (970) 488-1666
Fax: (970) 472-9381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 49069 | Colorado |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 49069 | Colorado |
Profile Details
| NPI number | 1588601561 |
|---|---|
| LBN Legal business name | Mack, Adam George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Nov 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588601561 | NPPES |
| Colorado | MEDICAID | 90970730 | |
| Colorado | Other | P01020620 |
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