Mack, Stuart G

Mack, Stuart G is an individual health care provider with primary practice located at 215 N Allison Ave , Barbourville KY 40906-1336. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mack, Stuart G can be contacted via phone (606) 546-9287.

Contact Information

Primary practice address
215 N Allison Ave Barbourville KY 40906-1336
Phone: (606) 546-9287
Fax: (606) 546-9363
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1815 Kentucky

Profile Details

NPI number 1982044616
LBN Legal business name Mack, Stuart G
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2013
Last updated Dec 7th, 2018 - about 6 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 1982044616 NPPES
Kentucky MEDICAID 7100255350
Kentucky Other CS1631301477

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