Wack, Robert

Wack, Robert is an individual health care provider with primary practice located at 400 W 7Th St , Frederick MD 21701-4506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wack, Robert can be contacted via phone (240) 566-3300.

Contact Information

Primary practice address
400 W 7Th St Frederick MD 21701-4506
Phone: (240) 566-3300
Fax: (240) 566-4872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0051658 Maryland

Profile Details

NPI number 1881662955
LBN Legal business name Wack, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Nov 17th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881662955 NPPES
Maryland MEDICAID 245940000

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