Slack, David M.
Slack, David M. is an individual health care provider with primary practice located at 179 Northampton St #H, Easthampton MA 01027-1057. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Slack, David M. can be contacted via phone (413) 529-9300.Contact Information
Primary practice address
179 Northampton St #H
Easthampton MA 01027-1057
Phone: (413) 529-9300
Fax: (413) 527-9793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 72497 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 72497 | Massachusetts |
Profile Details
| NPI number | 1205895554 |
|---|---|
| LBN Legal business name | Slack, David M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jun 17th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205895554 | NPPES |
| Massachusetts | Other | 16474 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 2358373 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 740008 | HEALTH NEW ENGLAND |
| Massachusetts | Other | J09911 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 000000007738 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 1293916 | HEALTH NEW ENGLAND |
| Massachusetts | MEDICAID | 3066134 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 1024130 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 63401 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 729533 | HEALTH NEW ENGLAND |
Popular Providers
-
Yoon, Eun Joo
2560 W Olympic Blvd Ste 101B , Los Angeles CA 90006-2998 -
Karmel, Douglas L.
6005 Park Ave Ste 200, Memphis TN 38119-5212 -
Merrick, Bryan Hale
205 Hospital Dr Ste A, Mc Kenzie TN 38201-1649 -
Wittman, William J
10 Bramblebush Park , Falmouth MA 02540-2325 -
Berman, Paul E.
184 Northampton St #K, Easthampton MA 01027-1049 -
Prelutsky, David J
2340 Hampton Ave , Saint Louis MO 63139-2909 -
Mena, Rosa M.
21216 Olean Blvd Ste 8, Port Charlotte FL 33952-6722 -
Green, Shari B
1010 Northern Blvd Ste 110, Great Neck NY 11021-5306