Mack, Carol Annette

Mack, Carol Annette is an individual health care provider with primary practice located at 725 Princess Ave , N Las Vegas NV 89030-3822. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mack, Carol Annette can be contacted via phone (702) 443-4763.

Contact Information

Primary practice address
725 Princess Ave N Las Vegas NV 89030-3822
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1780971978
LBN Legal business name Mack, Carol Annette
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2011
Last updated Jul 7th, 2011 - about 15 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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