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Contact Information

MACK OCCUPATIONAL HEALTH SERVICES SC
N528 FAIRLAND ISLAND
MENOMINEE, MI49858
 Phone: 906-424-4089
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for MACK OCCUPATIONAL HEALTH SERVICES SC

NPI # 1962645226
LBN Legal business name MACK OCCUPATIONAL HEALTH SERVICES SC
Authorized official THOMAS MACK - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/15/2009
Last updated 06/03/2009 - About 17 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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