Mack, Raymond
Mack, Raymond is an sole proprietor health care provider with primary practice located at 924 Buffalo St , Manitowoc WI 54220-4618. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mack, Raymond can be contacted via phone (920) 560-1147.Contact Information
Primary practice address
924 Buffalo St
Manitowoc WI 54220-4618
Phone: (920) 560-1147
Fax: (920) 560-1197
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1765024 | Wisconsin |
Profile Details
NPI number | 1134192321 |
---|---|
LBN Legal business name | Mack, Raymond |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 9th, 2006 |
Last updated | Nov 26th, 2021 - about 3 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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