Mack, Irene
Mack, Irene is an individual health care provider with primary practice located at 1331 Union Ave Suite 1226, Memphis TN 38104-3513. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Mack, Irene can be contacted via phone (901) 726-5888.Contact Information
Primary practice address
1331 Union Ave Suite 1226
Memphis TN 38104-3513
Phone: (901) 726-5888
Fax: (901) 726-6888
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Homemaker | 376J00000X | 253Z00000X | Arkansas |
Profile Details
NPI number | 1497038699 |
---|---|
LBN Legal business name | Mack, Irene |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 23rd, 2011 |
Last updated | Oct 29th, 2014 - about 10 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 | 1497038699 | NPPES |
Tennessee | MEDICAID | H445614 | |
Tennessee | MEDICAID | 184245732 |
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