Mack, Gregory R
Mack, Gregory R is an sole proprietor health care provider with primary practice located at 8008 Frost St Suite 403, San Diego CA 92123-4205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery of the Hand, which is considered as his primary health care specialty. Mack, Gregory R can be contacted via phone (858) 715-9200.Contact Information
Primary practice address
8008 Frost St Suite 403
San Diego CA 92123-4205
Phone: (858) 715-9200
Fax: (858) 715-1230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | G37547 | California |
Profile Details
| NPI number | 1528169513 |
|---|---|
| LBN Legal business name | Mack, Gregory R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Aug 6th, 2013 - about 13 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 | 1528169513 | NPPES |
| Other | W19719 | MEDICARE PTAN | |
| MEDICAID | 00G375470 | MEDICARE PTAN |
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