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:
Health care specialties
Specialty | Code | License # | 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 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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