Mack, Samuel G

Mack, Samuel G is an individual health care provider with primary practice located at 9040A Fitzsimmons Ave , Tacoma WA 98431-0001. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mack, Samuel G can be contacted via phone (253) 968-4184.

Contact Information

Primary practice address
9040A Fitzsimmons Ave Tacoma WA 98431-0001
Phone: (253) 968-4184
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801065054 Michigan

Profile Details

NPI number 1710952916
LBN Legal business name Mack, Samuel G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
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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