Mack, Roman
Mack, Roman is an individual health care provider with primary practice located at 3330 Peach St Ste 106B Suite 106B, Erie PA 16508-2771. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mack, Roman can be contacted via phone (814) 877-5570.Contact Information
Primary practice address
3330 Peach St Ste 106B Suite 106B
Erie PA 16508-2771
Phone: (814) 877-5570
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA001069L | Pennsylvania |
Profile Details
| NPI number | 1831178839 |
|---|---|
| LBN Legal business name | Mack, Roman |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Apr 6th, 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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