Mack, Julie A.

Mack, Julie A. is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Mack, Julie A. can be contacted via phone (717) 531-8044.

Contact Information

Primary practice address
500 University Dr Hershey PA 17033
Fax: (717) 531-5596
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD066697L Pennsylvania

Profile Details

NPI number 1295738664
LBN Legal business name Mack, Julie A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated May 23rd, 2018 - about 6 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 1295738664 NPPES
Pennsylvania MEDICAID 01741857

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