Roman Mack is a Physician Assistant in Erie, Pennsylvania. Roman Mack practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Roman Mack is 1831178839. The last update date is 2021-04-06.
Roman Mack's current location address is 3330 Peach St Ste 106b, Erie, Pennsylvania. You can contact this provider via phone number 8148775570. The mailing address for Roman Mack is 3330 Peach St Ste 106b, Erie, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roman Mack |
|---|---|
| Address | 3330 Peach St Ste 106b, Erie, Pennsylvania |
| Phone Number | 8148775570 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1831178839 |
|---|---|
| Provider Enumeration Date | 2006-01-10 |
| Last Updated Date | 2021-04-06 |
Provider Mailing Address Detail
| Address | 3330 Peach St Ste 106b |
|---|---|
| City | Erie |
| State | Pennsylvania (PA) |
| Post Code | 165082771 |
| Phone Number | 8148775570 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | MA001069L |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Roman Mack?
The Roman Mack has been issued the NPI (National Provider Identifier) 1831178839 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Roman Mack?
The Roman Mack is situated at 3330 Peach St Ste 106B, in the city of Erie, state of PA, with the zip code 165082771.
When did Roman Mack receive its 1831178839 assignment?
The Roman Mack was assigned its 1831178839 on 2006-01-10, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1831178839 to Roman Mack?
The Centers for Medicare & Medicaid Services originally issued the 1831178839 to Roman Mack on 2006-01-10.
When was the information regarding Roman Mack, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Roman Mack, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-04-06.