Mack, Emili Rachele

Mack, Emili Rachele is an sole proprietor health care provider with primary practice located at 3721 Lynn Rd Ste 104 , Raleigh NC 27613-3855. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mack, Emili Rachele can be contacted via phone (919) 825-3600.

Contact Information

Primary practice address
3721 Lynn Rd Ste 104 Raleigh NC 27613-3855
Phone: (919) 825-3600
Fax: (984) 200-6001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2005-01260 North Carolina

Profile Details

NPI number 1184618019
LBN Legal business name Mack, Emili Rachele
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2005
Last updated Mar 7th, 2023 - about last year

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 1184618019 NPPES
North Carolina Other 2005-01260 STATE MEDICAL LICENSE
North Carolina MEDICAID 5902210 STATE MEDICAL LICENSE

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