Jody Mack is a Medical in Montrose, Colorado. Jody Mack practices all healthcare services and medical treatments related to Medical. The NPI Number for Jody Mack is 1760663140. The last update date is 2022-03-03.
Jody Mack's current location address is 947 S 5th St, Montrose, Colorado. You can contact this provider via phone number 9702492421 and fax number 9702491203. The mailing address for Jody Mack is 947 S 5th St, Montrose, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody Mack |
|---|---|
| Address | 947 S 5th St, Montrose, Colorado |
| Phone Number | 9702492421 |
| Fax Number | 9702491203 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1760663140 |
|---|---|
| Provider Enumeration Date | 2007-11-14 |
| Last Updated Date | 2022-03-03 |
Provider Mailing Address Detail
| Address | 947 S 5th St |
|---|---|
| City | Montrose |
| State | Colorado (CO) |
| Post Code | 814015716 |
| Phone Number | 9702492421 |
| Fax Number | 9702491203 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | MED-PAC-LIC- |
|
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 |
|---|---|---|---|
| 67538746 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jody Mack by the Centers for Medicare & Medicaid Services?
The Jody Mack has been issued the NPI (National Provider Identifier) 1760663140 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jody Mack is physically located?
The Jody Mack is situated at the following address: 947 S 5Th St, Montrose, CO 814015716.
What is Jody Mack's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jody Mack is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
When did Jody Mack receive its 1760663140 assignment?
The Jody Mack was assigned its 1760663140 on 2007-11-14, which is the date when this unique identifier was issued to the organization.
As of what date were the Jody Mack's details last updated?
The information pertaining to the Jody Mack, including its address, specialty, and other details, was most recently updated on 2022-03-03.