Mack, Charles R

Mack, Charles R is an individual health care provider with primary practice located at 4185 Seneca St Suite 11, West Seneca NY 14224-3565. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Mack, Charles R can be contacted via phone (716) 674-8189.

Contact Information

Primary practice address
4185 Seneca St Suite 11 West Seneca NY 14224-3565
Phone: (716) 674-8189
Fax: (716) 712-0469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 293597-1 New York

Profile Details

NPI number 1780786053
LBN Legal business name Mack, Charles R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
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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