Mack, Karin F

Mack, Karin F is an individual health care provider with primary practice located at 100 Ledgehill Rd , Bennington VT 05201-2273. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Mack, Karin F can be contacted via phone (802) 442-5491.

Contact Information

Primary practice address
100 Ledgehill Rd Bennington VT 05201-2273
Phone: (802) 442-5491
Fax: (802) 442-4910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 042-0009090 Vermont

Profile Details

NPI number 1114946035
LBN Legal business name Mack, Karin F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 8th, 2007 - 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 1114946035 NPPES
Vermont Other 126-1087 BLUE CROSS
Vermont Other 970368 BLUE CROSS
Vermont Other 2018556 BLUE CROSS
Vermont MEDICAID 0VN1125 BLUE CROSS
Vermont Other 10010392 BLUE CROSS

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