Mack, Dewayne W

Mack, Dewayne W is an individual health care provider with primary practice located at 8119 Holland Rd , Alexandria VA 22306-3135. He recently has only one registered license in Nursing Service Providers / Case Management, which is considered as his primary health care specialty. Mack, Dewayne W can be contacted via phone (703) 360-6910.

Contact Information

Primary practice address
8119 Holland Rd Alexandria VA 22306-3135
Phone: (703) 360-6910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 0001142876 Virginia

Profile Details

NPI number 1639472699
LBN Legal business name Mack, Dewayne W
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2010
Last updated Dec 14th, 2010 - 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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