Mack, Thomas Criswell
Mack, Thomas Criswell is an sole proprietor health care provider with primary practice located at 2710 North Dodge St. Ste #1, Iowa City IA 52245. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mack, Thomas Criswell can be contacted via phone (319) 400-1311.Contact Information
Primary practice address
2710 North Dodge St. Ste #1
Iowa City IA 52245
Phone: (319) 400-1311
Fax: (319) 575-6025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 094424 | Iowa |
Profile Details
| NPI number | 1881251783 |
|---|---|
| LBN Legal business name | Mack, Thomas Criswell |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2019 |
| Last updated | Feb 10th, 2021 - 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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