Mack, Margaret
Mack, Margaret is an sole proprietor health care provider with primary practice located at 15002 N 32Nd St , Phoenix AZ 85032-4441. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mack, Margaret can be contacted via phone (602) 867-5223.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 0170 | Arizona |
Profile Details
NPI number | 1104909092 |
---|---|
LBN Legal business name | Mack, Margaret |
Credentials | MS,OTR |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 23rd, 2006 |
Last updated | Jul 9th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104909092 | NPPES |
Arizona | MEDICAID | 343351 |
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