Slack, David M.
Slack, David M. is an individual health care provider with primary practice located at 179 Northampton St #H, Easthampton MA 01027-1057. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Slack, David M. can be contacted via phone (413) 529-9300.Contact Information
Primary practice address
179 Northampton St #H
Easthampton MA 01027-1057
Phone: (413) 529-9300
Fax: (413) 527-9793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 72497 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 72497 | Massachusetts |
Profile Details
| NPI number | 1205895554 |
|---|---|
| LBN Legal business name | Slack, David M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jun 17th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205895554 | NPPES |
| Massachusetts | Other | 16474 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 2358373 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 740008 | HEALTH NEW ENGLAND |
| Massachusetts | Other | J09911 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 000000007738 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 1293916 | HEALTH NEW ENGLAND |
| Massachusetts | MEDICAID | 3066134 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 1024130 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 63401 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 729533 | HEALTH NEW ENGLAND |
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