Mack, James C

Mack, James C is an individual health care provider with primary practice located at 2351 Huguenard Dr Suite 200, Lexington KY 40503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mack, James C can be contacted via phone (859) 260-7700.

Contact Information

Primary practice address
2351 Huguenard Dr Suite 200 Lexington KY 40503
Phone: (859) 260-7700
Fax: (859) 260-7797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19608 Kentucky

Profile Details

NPI number 1457310757
LBN Legal business name Mack, James C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Dec 10th, 2014 - about 11 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 1457310757 NPPES
Kentucky MEDICAID 64196082

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