Mack, Bryan
Mack, Bryan is an individual health care provider with primary practice located at 18924 Evan St. Suite 105, Elkhorn NE 68022. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mack, Bryan can be contacted via phone (531) 466-8611.Contact Information
Primary practice address
18924 Evan St. Suite 105
Elkhorn NE 68022
Phone: (531) 466-8611
Fax: (531) 999-3842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 7473 | Arizona |
| Chiropractic Providers / Chiropractor | 111N00000X | 2018 | Nebraska |
Profile Details
| NPI number | 1538266432 |
|---|---|
| LBN Legal business name | Mack, Bryan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Oct 14th, 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 | 1538266432 | NPPES |
| Arizona | Other | AZ0941700 | BCBS PROVIDER ID |
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