Mack, Yvonne

Mack, Yvonne is an individual health care provider with primary practice located at 182 Virginia St , Boone NC 28607-5043. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Mack, Yvonne can be contacted via phone (828) 262-4342.

Contact Information

Primary practice address
182 Virginia St Boone NC 28607-5043
Phone: (828) 262-4342
Fax: (828) 262-4414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 34878 North Carolina

Profile Details

NPI number 1144289752
LBN Legal business name Mack, Yvonne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Dec 19th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144289752 NPPES
North Carolina Other 1523935007 CIGNA
North Carolina Other 1093A CIGNA
North Carolina Other 1003051 CIGNA
North Carolina Other A8656 CIGNA
North Carolina MEDICAID 891093A CIGNA

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