Mack, Donald Owen

Mack, Donald Owen is an individual health care provider with primary practice located at 2231 N High St , Columbus OH 43201-1101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Mack, Donald Owen can be contacted via phone (614) 293-2700.

Contact Information

Primary practice address
2231 N High St Columbus OH 43201-1101
Phone: (614) 293-2700
Fax: (614) 293-2720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35052196 Ohio
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 35052196 Ohio

Profile Details

NPI number 1316980311
LBN Legal business name Mack, Donald Owen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Mar 1st, 2021 - about 3 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 1316980311 NPPES
Ohio MEDICAID 0634899

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