Mack, Keith R
Mack, Keith R is an sole proprietor health care provider with primary practice located at 1567 S Range Ave , Denham Springs LA 70726-5201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Independent Medical Examiner, which is considered as his primary health care specialty. Mack, Keith R can be contacted via phone (225) 665-3500.Contact Information
Primary practice address
1567 S Range Ave
Denham Springs LA 70726-5201
Phone: (225) 665-3500
Fax: (225) 665-3518
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Independent Medical Examiner | 202C00000X | 14885 | Louisiana |
Profile Details
| NPI number | 1366646937 |
|---|---|
| LBN Legal business name | Mack, Keith R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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