Massengale, Carl Mack

Massengale, Carl Mack is an sole proprietor health care provider with primary practice located at 1904 Fisher Rd , Muldrow OK 74948-2704. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Massengale, Carl Mack can be contacted via phone (479) 883-7286.

Contact Information

Primary practice address
1904 Fisher Rd Muldrow OK 74948-2704
Phone: (479) 883-7286
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X

Profile Details

NPI number 1326332834
LBN Legal business name Massengale, Carl Mack
Credentials CSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2011
Last updated Aug 19th, 2014 - about 10 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.

Request for update

Popular Providers