Mack, Dewayne W
Mack, Dewayne W is an individual health care provider with primary practice located at 8119 Holland Rd , Alexandria VA 22306-3135. He recently has only one registered license in Nursing Service Providers / Case Management, which is considered as his primary health care specialty. Mack, Dewayne W can be contacted via phone (703) 360-6910.Contact Information
Primary practice address
8119 Holland Rd
Alexandria VA 22306-3135
Phone: (703) 360-6910
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Case Management | 163WC0400X | 0001142876 | Virginia |
Profile Details
| NPI number | 1639472699 |
|---|---|
| LBN Legal business name | Mack, Dewayne W |
| Credentials | REGISTERED NURSE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2010 |
| Last updated | Dec 14th, 2010 - 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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