Jonathan Eberhard Mack in Manchester - Sports Medicine
Jonathan Eberhard Mack - NPI 1275522625
Jonathan Eberhard Mack is a Sports Medicine in Manchester, New Hampshire. Jonathan Eberhard Mack practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jonathan Eberhard Mack is 1275522625. The last update date is 2011-04-13.
Jonathan Eberhard Mack's current location address is 185 Queen City Ave, Manchester, New Hampshire. You can contact this provider via phone number 6036251655 and fax number 6036264686. The mailing address for Jonathan Eberhard Mack is 185 Queen City Ave, Manchester, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Eberhard Mack |
|---|---|
| Address | 185 Queen City Ave, Manchester, New Hampshire |
| Phone Number | 6036251655 |
| Fax Number | 6036264686 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1275522625 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2011-04-13 |
Provider Mailing Address Detail
| Address | 185 Queen City Ave |
|---|---|
| City | Manchester |
| State | New Hampshire (NH) |
| Post Code | 31017100 |
| Phone Number | 6036251655 |
| Fax Number | 6036264686 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 33787 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34952800 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jonathan Eberhard Mack?
The Jonathan Eberhard Mack has been issued the NPI (National Provider Identifier) 1275522625 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 address where Jonathan Eberhard Mack is geographically located?
The Jonathan Eberhard Mack is physically situated at the following location: 185 Queen City Ave, Manchester, NH, 31017100.
What is the area of specialization for Jonathan Eberhard Mack, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jonathan Eberhard Mack is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Xx0005X.
When did the Jonathan Eberhard Mack receive its 1275522625?
The Jonathan Eberhard Mack was issued its 1275522625 on 2005-10-18, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Jonathan Eberhard Mack most recently updated or revised?
The details related to Jonathan Eberhard Mack, including its address, specialty, and other relevant information, were last updated or revised on 2011-04-13.