Mack, Eddie Sidney

Mack, Eddie Sidney is an individual health care provider with primary practice located at 9101 Whittier Blvd , Pico Rivera CA 90660-2405. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Mack, Eddie Sidney can be contacted via phone (562) 801-4626.

Contact Information

Primary practice address
9101 Whittier Blvd Pico Rivera CA 90660-2405
Phone: (562) 801-4626
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1184059420
LBN Legal business name Mack, Eddie Sidney
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2013
Last updated Sep 5th, 2013 - about 12 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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