Mack, Gregory R
Mack, Gregory R is an sole proprietor health care provider with primary practice located at 8008 Frost St Suite 403, San Diego CA 92123-4205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery of the Hand, which is considered as his primary health care specialty. Mack, Gregory R can be contacted via phone (858) 715-9200.Contact Information
Primary practice address
8008 Frost St Suite 403
San Diego CA 92123-4205
Phone: (858) 715-9200
Fax: (858) 715-1230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | G37547 | California |
Profile Details
| NPI number | 1528169513 |
|---|---|
| LBN Legal business name | Mack, Gregory R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Aug 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528169513 | NPPES |
| Other | W19719 | MEDICARE PTAN | |
| MEDICAID | 00G375470 | MEDICARE PTAN |
Popular Providers
-
Yalom, Anisa M
277 Rancheros Dr Ste 101 , San Marcos CA 92069-2976 -
Caggiano, Nicholas Manes
862 Meinecke Ave Ste 100 , San Luis Obispo CA 93405 -
Subin, David K
2929 Health Center Dr , San Diego CA 92123-2762 -
Miranda, Edward P.
77 Van Ness Avenue Suite 302, San Francisco CA 94102 -
Shapiro, Lauren Michelle
1500 Owens Street , San Francisco CA 94158 -
Tuttle, Harrison G
3001 Edwards Mill Rd , Raleigh NC 27612-5243 -
Jindal, Rishi
6386 Alvarado Ct Ste 330 , San Diego CA 92120-4908 -
Yim, Kenneth Kai-Yuk
751 S Bascom Ave Plastic Surgery Dept, San Jose CA 95128-2604