Mack, Michael

Mack, Michael is an sole proprietor health care provider with primary practice located at 5416 N Lawrence St , Philadelphia PA 19120-2804. He recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as his primary health care specialty. Mack, Michael can be contacted via phone (267) 257-9270.

Contact Information

Primary practice address
5416 N Lawrence St Philadelphia PA 19120-2804
Phone: (267) 257-9270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X RN585234 Pennsylvania

Profile Details

NPI number 1407138712
LBN Legal business name Mack, Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2011
Last updated Sep 13th, 2011 - about 13 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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