Mack, Christopher Scott

Mack, Christopher Scott is an sole proprietor health care provider with primary practice located at 3980 Sheridan Dr Ste 402 , Amherst NY 14226-1727. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Mack, Christopher Scott can be contacted via phone (716) 362-0651.

Contact Information

Primary practice address
3980 Sheridan Dr Ste 402 Amherst NY 14226-1727
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 007093-1 New York

Profile Details

NPI number 1235632852
LBN Legal business name Mack, Christopher Scott
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2018
Last updated Mar 9th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235632852 NPPES
New York MEDICAID 1376924944

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