Mack, Lisa K
Mack, Lisa K is an sole proprietor health care provider with primary practice located at 1022 Hamburg Tpke , Wayne NJ 07470-3209. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mack, Lisa K can be contacted via phone (973) 694-1234.Contact Information
Primary practice address
1022 Hamburg Tpke
Wayne NJ 07470-3209
Phone: (973) 694-1234
Fax: (973) 633-0992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SL05343300 | New Jersey |
Profile Details
| NPI number | 1629297346 |
|---|---|
| LBN Legal business name | Mack, Lisa K |
| Credentials | L.S.W. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2007 |
| 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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