Mack, Mihaela M

Mack, Mihaela M is an individual health care provider with primary practice located at 45 Grove St , New Canaan CT 06840-5330. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mack, Mihaela M can be contacted via phone (203) 966-5752.

Contact Information

Primary practice address
45 Grove St New Canaan CT 06840-5330
Phone: (203) 966-5752
Fax: (203) 966-7507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X CT05123 Connecticut

Profile Details

NPI number 1831181791
LBN Legal business name Mack, Mihaela M
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1831181791 NPPES
Connecticut Other 080005123CT01 ANTHEM BC/BS
Connecticut Other ANC1555 ANTHEM BC/BS

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