Mack, Robert Gary

Mack, Robert Gary is an sole proprietor health care provider with primary practice located at 2712 Edgewater Drive , Greenwood AR 72936. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Mack, Robert Gary can be contacted via phone (479) 414-1190.

Contact Information

Primary practice address
2712 Edgewater Drive Greenwood AR 72936
Phone: (479) 414-1190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 1002664 Arkansas

Profile Details

NPI number 1619018793
LBN Legal business name Mack, Robert Gary
Credentials BACHELOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2007
Last updated Jul 9th, 2007 - about 18 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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