Tack, Mary Ann
Tack, Mary Ann is an sole proprietor health care provider with primary practice located at 901 Brutscher St Ste 210, Newberg OR 97132-6095. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Tack, Mary Ann can be contacted via phone (503) 537-2052.Contact Information
Primary practice address
901 Brutscher St Ste 210
Newberg OR 97132-6095
Phone: (503) 537-2052
Fax: (503) 538-8315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 27 2863 | Oregon |
Profile Details
| NPI number | 1346347929 |
|---|---|
| LBN Legal business name | Tack, Mary Ann |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2006 |
| Last updated | Jun 19th, 2020 - about 6 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 | 1346347929 | NPPES |
| Oregon | MEDICAID | 274833 |
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