Mack, Beverly A.
Mack, Beverly A. is an individual health care provider with primary practice located at 801 5Th Ave Se , Devils Lake ND 58301-3649. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mack, Beverly A. can be contacted via phone (701) 662-7690.Contact Information
Primary practice address
801 5Th Ave Se
Devils Lake ND 58301-3649
Phone: (701) 662-7690
Fax: (701) 662-7684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 429 | North Dakota |
Profile Details
| NPI number | 1568511517 |
|---|---|
| LBN Legal business name | Mack, Beverly A. |
| Credentials | M.S.,CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1568511517 | NPPES |
| North Dakota | MEDICAID | 59067 |
Popular Providers
-
Romfo, Rachelle
801 5Th Ave Se , Devils Lake ND 58301-3649 -
Grafsgaard, Heidi
801 5Th Ave Se , Devils Lake ND 58301-3649 -
Quam, Rachel Marie
412 7Th St Ne , Devils Lake ND 58301-2530 -
Ness, Hayley
801 5Th Ave Se , Devils Lake ND 58301-3649 -
Davies, Audrey Sue
801 5Th Ave Se , Devils Lake ND 58301-3649 -
Johnson, Chase
307 13Th Ave Se , Devils Lake ND 58301-3209 -
Smith, Megan
801 5Th Ave Se , Devils Lake ND 58301-3649 -
Heisler, Jennifer
801 5Th Ave Se , Devils Lake ND 58301-3649