Mack, Porshia

Mack, Porshia is an sole proprietor health care provider with primary practice located at 22331 Mission Blvd , Hayward CA 94541-3911. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mack, Porshia can be contacted via phone (510) 471-5880.

Contact Information

Primary practice address
22331 Mission Blvd Hayward CA 94541-3911
Phone: (510) 471-5880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 231308 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A88058 California

Profile Details

NPI number 1720124555
LBN Legal business name Mack, Porshia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Jan 6th, 2022 - about 4 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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