Mack, Patricia Rose

Mack, Patricia Rose is an sole proprietor health care provider with primary practice located at 8259 State Route 88 , Ravenna OH 44266-9158. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Mack, Patricia Rose can be contacted via phone (330) 296-0322.

Contact Information

Primary practice address
8259 State Route 88 Ravenna OH 44266-9158
Phone: (330) 296-0322
Fax: (330) 296-0322
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1386245504
LBN Legal business name Mack, Patricia Rose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2020
Last updated Nov 4th, 2020 - about 4 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 1386245504 NPPES
Ohio MEDICAID 2084355

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