Mack, James E.

Mack, James E. is an individual health care provider with primary practice located at 400 W Morris St , Bath NY 14810-1039. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mack, James E. can be contacted via phone (607) 776-3320.

Contact Information

Primary practice address
400 W Morris St Bath NY 14810-1039
Fax: (607) 776-1560
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 029929 New York

Profile Details

NPI number 1942480280
LBN Legal business name Mack, James E.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2007
Last updated Nov 3rd, 2007 - about 18 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 1942480280 NPPES
New York MEDICAID 00446451

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