Mack, Robert Thomas

Mack, Robert Thomas is an sole proprietor health care provider with primary practice located at 1311 Westview Dr , Berkeley CA 94705-1652. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Mack, Robert Thomas can be contacted via phone (510) 967-9378.

Contact Information

Primary practice address
1311 Westview Dr Berkeley CA 94705-1652
Phone: (510) 967-9378
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G25338 California

Profile Details

NPI number 1356985105
LBN Legal business name Mack, Robert Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2019
Last updated Nov 5th, 2019 - about 7 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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