Mack, Thomas C

Mack, Thomas C is an individual health care provider with primary practice located at 116 W Smith St , Corry PA 16407-1558. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Mack, Thomas C can be contacted via phone (814) 665-1032.

Contact Information

Primary practice address
116 W Smith St Corry PA 16407-1558
Phone: (814) 665-1032
Fax: (814) 665-2225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X DC003097L Pennsylvania

Profile Details

NPI number 1689644726
LBN Legal business name Mack, Thomas C
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689644726 NPPES
Pennsylvania Other 155842 HEALTH AMERICA
Pennsylvania Other 456615 HEALTH AMERICA

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