Mack, Brandon Vashon
Mack, Brandon Vashon is an individual health care provider with primary practice located at 1200 College Dr , Rock Springs WY 82901-5868. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mack, Brandon Vashon can be contacted via phone (307) 352-8326.Contact Information
Primary practice address
1200 College Dr
Rock Springs WY 82901-5868
Phone: (307) 352-8326
Fax: (307) 352-8502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | TL799 | Wyoming |
Profile Details
| NPI number | 1639203664 |
|---|---|
| LBN Legal business name | Mack, Brandon Vashon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 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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