Mack, Jennifer

Mack, Jennifer is an sole proprietor health care provider with primary practice located at 6179 S Balsam Way Ste 205 , Littleton CO 80123-3093. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mack, Jennifer can be contacted via phone (720) 771-1135.

Contact Information

Primary practice address
6179 S Balsam Way Ste 205 Littleton CO 80123-3093
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN.0992162-NP Colorado

Profile Details

NPI number 1003368150
LBN Legal business name Mack, Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2016
Last updated Oct 25th, 2016 - about 9 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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