Mack, John Edward
Mack, John Edward is an individual health care provider with primary practice located at 70 Medical Center Cir Ste 213 , Fishersville VA 22939-2273. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Mack, John Edward can be contacted via phone (540) 245-7705.Contact Information
Primary practice address
70 Medical Center Cir Ste 213
Fishersville VA 22939-2273
Phone: (540) 245-7705
Fax: (540) 245-7710
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 0110006808 | Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 006239 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 006239 | New York |
Profile Details
NPI number | 1619918968 |
---|---|
LBN Legal business name | Mack, John Edward |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2006 |
Last updated | Jun 22nd, 2023 - about last year |
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 | 1619918968 | NPPES |
New York | MEDICAID | 01908396 |
Popular Providers
-
Bentley, Deena Marie
4233 Gateway Blvd , Newburgh IN 47630-8900 -
Fung, Caroline May-San
9555 Sw Barnes Rd Ste 150, Portland OR 97225-6663 -
Donovan, Neil F
70 Medical Center Cir Ste 103 , Fishersville VA 22939-2273 -
Pope, Robert Harris
38 The Village Overlook , Sylva NC 28779-2616 -
Jarbath, Marie Denise
17448 Highway 3 Ste 136, Webster TX 77598-4141 -
Stegall, Lynn Annette
6286 Briarcrest Ave Suite 200, Memphis TN 38120-4023 -
Baker, Judith A
23 Fish And Game Rd , Hudson NY 12534-3815 -
Park, Daniel
1441 Eastlake Ave Ste 7416, Los Angeles CA 90089-2211