Mack, Anthony
Mack, Anthony is an individual health care provider with primary practice located at 90 Great Oaks Blvd 108, San Jose CA 95119-1314. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Mack, Anthony can be contacted via phone (408) 281-0708.Contact Information
Primary practice address
90 Great Oaks Blvd 108
San Jose CA 95119-1314
Phone: (408) 281-0708
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1497882997 |
|---|---|
| LBN Legal business name | Mack, Anthony |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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