Mack, Joseph A

Mack, Joseph A is an individual health care provider with primary practice located at 49 2Nd St , Presque Isle ME 04769-2637. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mack, Joseph A can be contacted via phone (207) 762-4641.

Contact Information

Primary practice address
49 2Nd St Presque Isle ME 04769-2637
Phone: (207) 762-4641
Fax: (207) 762-3336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 013912 Maine

Profile Details

NPI number 1912931031
LBN Legal business name Mack, Joseph A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated May 19th, 2008 - about 17 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 1912931031 NPPES
Maine Other 012223 ANTHEM BC/BS
Maine MEDICAID 277470099 ANTHEM BC/BS
Maine Other 300044777 ANTHEM BC/BS

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