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:
Health care specialties
| Specialty | Code | License # | 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 19 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 | 1124032990 | NPPES |
| Nevada | Other | 11209 | NV STATE MED. LIC # |
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