Steven L Mack is a Medical in Yakima, Washington. Steven L Mack practices all healthcare services and medical treatments related to Medical. The NPI Number for Steven L Mack is 1578550091. The last update date is 2016-06-02.
Steven L Mack's current location address is 2500 Racquet Ln, Yakima, Washington. You can contact this provider via phone number 5092493900 and fax number 5095739539. The mailing address for Steven L Mack is 2500 Racquet Ln, Yakima, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Steven L Mack |
---|---|
Address | 2500 Racquet Ln, Yakima, Washington |
Phone Number | 5092493900 |
Fax Number | 5095739539 |
Sole Proprietor | N |
Credentials | PAC |
NPI Number Detail
NPI Number | 1578550091 |
---|---|
Provider Enumeration Date | 2005-09-29 |
Last Updated Date | 2016-06-02 |
Provider Mailing Address Detail
Address | 2500 Racquet Ln |
---|---|
City | Yakima |
State | Washington (WA) |
Post Code | 989026114 |
Phone Number | 5092493900 |
Fax Number | 5095739539 |
Provider's Primary Taxonomy Detail
Speciality | Medical |
---|---|
Taxonomy | 363Am0700X |
Licence No | 025211PA1000 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
8357519 | WA | -- | |
970029734 | WA | RAILROAD MEDICARE PIN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Steven L Mack?
The Steven L Mack has been issued the NPI (National Provider Identifier) 1578550091 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 Steven L Mack?
The Steven L Mack is situated at 2500 Racquet Ln, in the city of Yakima, state of WA, with the zip code 989026114.
What is the area of specialization for Steven L Mack, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Steven L Mack is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1578550091 to Steven L Mack?
The Steven L Mack received its 1578550091 assignment from the Centers for Medicare & Medicaid Services on 2005-09-29.
As of what date was the information regarding Steven L Mack, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Steven L Mack, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-06-02.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA