Mack, John Robert

Mack, John Robert is an individual health care provider with primary practice located at 935 Wildwood Rd , White Bear Lake MN 55115-1847. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mack, John Robert can be contacted via phone (651) 779-4263.

Contact Information

Primary practice address
935 Wildwood Rd White Bear Lake MN 55115-1847
Phone: (651) 779-4263
Fax: (651) 779-4274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4261 Minnesota

Profile Details

NPI number 1235276221
LBN Legal business name Mack, John Robert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jul 9th, 2007 - about 19 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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