Steven L Mack in Yakima - Medical

Steven L Mack - NPI 1578550091

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

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FAQs about Steven L Mack

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.

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