Mack, Dave

Mack, Dave is an individual health care provider with primary practice located at 1514 Drake St. , Madison WI 53711. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Mack, Dave can be contacted via phone (608) 294-9922.

Contact Information

Primary practice address
1514 Drake St. Madison WI 53711
Phone: (608) 294-9922
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X NA Wisconsin

Profile Details

NPI number 1376648154
LBN Legal business name Mack, Dave
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 8th, 2007 - about 18 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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