Mack, Jeffrey T.

Mack, Jeffrey T. is an individual health care provider with primary practice located at 4001 E Sunrise Dr Ste 161 , Tucson AZ 85718-4324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mack, Jeffrey T. can be contacted via phone (520) 408-6955.

Contact Information

Primary practice address
4001 E Sunrise Dr Ste 161 Tucson AZ 85718-4324
Phone: (520) 408-6955
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32313 Arizona

Profile Details

NPI number 1003803461
LBN Legal business name Mack, Jeffrey T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jan 27th, 2021 - about 5 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 1003803461 NPPES
Arizona MEDICAID 840547

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