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
Fax: (970) 472-9381
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588601561 NPPES
Colorado MEDICAID 90970730
Colorado Other P01020620

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