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

Primary practice address
15002 N 32Nd St Phoenix AZ 85032-4441
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104909092 NPPES
Arizona MEDICAID 343351

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