Tack, David Alan

Tack, David Alan is an individual health care provider with primary practice located at 1100 S Carson St , Carson City NV 89701-5232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Tack, David Alan can be contacted via phone (775) 883-7811.

Contact Information

Primary practice address
1100 S Carson St Carson City NV 89701-5232
Phone: (775) 883-7811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 11209 Nevada

Profile Details

NPI number 1124032990
LBN Legal business name Tack, David Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 2007 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124032990 NPPES
Nevada Other 11209 NV STATE MED. LIC #

Popular Providers