Vicki Lynn Mack is a Pediatrics in Enola, Pennsylvania. Vicki Lynn Mack practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Vicki Lynn Mack is 1730101254. The last update date is 2007-07-08.
Vicki Lynn Mack's current location address is 125 N Enola Dr, Enola, Pennsylvania. You can contact this provider via phone number 7177327171 and fax number 7177328872. The mailing address for Vicki Lynn Mack is 125 N Enola Dr, Enola, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vicki Lynn Mack |
|---|---|
| Address | 125 N Enola Dr, Enola, Pennsylvania |
| Phone Number | 7177327171 |
| Fax Number | 7177328872 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1730101254 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 125 N Enola Dr |
|---|---|
| City | Enola |
| State | Pennsylvania (PA) |
| Post Code | 170252500 |
| Phone Number | 7177327171 |
| Fax Number | 7177328872 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD067040L |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17468620001 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Vicki Lynn Mack by the Centers for Medicare & Medicaid Services?
The Vicki Lynn Mack has been assigned the NPI (National Provider Identifier) 1730101254. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Vicki Lynn Mack is physically located?
The Vicki Lynn Mack is physically situated at the following address: 125 N Enola Dr, Enola, PA, 170252500.
What is the Vicki Lynn Mack's area of specialization and corresponding taxonomy classification?
The Vicki Lynn Mack's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1730101254 to Vicki Lynn Mack?
The Vicki Lynn Mack received its 1730101254 assignment from the Centers for Medicare & Medicaid Services on 2006-07-24.
As of what date were the details related to Vicki Lynn Mack most recently updated or revised?
The information pertaining to Vicki Lynn Mack, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.