Mack, Joel D
Mack, Joel D is an individual health care provider with primary practice located at 3515 Richmond Rd , Texarkana TX 75503. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Mack, Joel D can be contacted via phone (903) 791-9355.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 618334 | Texas |
Profile Details
NPI number | 1649335233 |
---|---|
LBN Legal business name | Mack, Joel D |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 26th, 2006 |
Last updated | Jul 12th, 2012 - 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.
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