Pack, Martel L

Pack, Martel L is an individual health care provider with primary practice located at 5401 Tacony St Bldg 38K3 , Philadelphia PA 19137. He recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as his primary health care specialty. Pack, Martel L can be contacted via phone (445) 207-6002.

Contact Information

Primary practice address
5401 Tacony St Bldg 38K3 Philadelphia PA 19137
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1336036615
LBN Legal business name Pack, Martel L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2025
Last updated Jun 19th, 2025 - about last year

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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