Paul Jeffrey Mack in Saint Louis - Specialist
Paul Jeffrey Mack - NPI 1780740563
Paul Jeffrey Mack is a Specialist in Saint Louis, Missouri. Paul Jeffrey Mack practices all healthcare services and medical treatments related to Specialist. The NPI Number for Paul Jeffrey Mack is 1780740563. The last update date is 2007-07-08.
Paul Jeffrey Mack's current location address is 1015 Mccausland Ave, Saint Louis, Missouri. You can contact this provider via phone number 3147815050. The mailing address for Paul Jeffrey Mack is 1015 Mccausland Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Jeffrey Mack |
|---|---|
| Address | 1015 Mccausland Ave, Saint Louis, Missouri |
| Phone Number | 3147815050 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CHTP, ED.D |
NPI Number Detail
| NPI Number | 1780740563 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1015 Mccausland Ave |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631171924 |
| Phone Number | 3147815050 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 2504 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Paul Jeffrey Mack?
The Paul Jeffrey Mack has been issued the NPI (National Provider Identifier) 1780740563 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Paul Jeffrey Mack's facilities are situated?
The facilities of Paul Jeffrey Mack are physically located at the following address: 1015 Mccausland Ave, Saint Louis, MO, 631171924.
What is Paul Jeffrey Mack's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Paul Jeffrey Mack is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780740563 to Paul Jeffrey Mack?
The Centers for Medicare & Medicaid Services originally issued the 1780740563 to Paul Jeffrey Mack on 2006-12-28.
As of what date were the details pertaining to Paul Jeffrey Mack last refreshed?
The information related to the Paul Jeffrey Mack, including its address, specialty, and other relevant details, was last updated on 2007-07-08.