Dr. Jonathan E Mack, MD
Orthopaedic Surgery, Sports Medicine in Manchester, New Hampshire
1275522625- Practice location
- 185 Queen City Ave, Elliot Orthopaedic Surgery Specialists, Manchester, NH 03101-7100
- Phone
- 603-625-1655
- Fax
- 603-626-4686
- Last updated
- April 13, 2011
Jonathan Eberhard Mack is an Orthopaedic Surgery, Sports Medicine based in Manchester, NH. Jonathan Eberhard Mack practices in Manchester, NH and has the professional credentials of MD. The NPI Number for Jonathan Eberhard Mack is 1275522625 and holds a License No. 33787 (AZ). The current practice location address for Jonathan Eberhard Mack is 185 Queen City Ave, Elliot Orthopaedic Surgery Specialists, Manchester, NH 03101-7100 and can be reached out via phone at 603-625-1655 and via fax at 603-626-4686.
Provider Profile Details
- NPI Number
- 1275522625
- Provider Name
- Jonathan Eberhard Mack
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 185 Queen City Ave, Elliot Orthopaedic Surgery Specialists, Manchester, NH 03101-7100
- Phone Number
- 603-625-1655
- Fax Number
- 603-626-4686
- Primary Taxonomy
- Orthopaedic Surgery, Sports Medicine · 207XX0005X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 18, 2005
- Last Update Date
- April 13, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 185 Queen City Ave
Elliot Orthopaedic Surgery Specialists
Manchester, NH 03101-7100 - City
- Manchester
- State
- New Hampshire
- Zip
- 03101-7100
- Phone Number
- 603-625-1655
- Fax Number
- 603-626-4686
Provider Business Mailing Address Details
- Address
- 185 Queen City Ave
Elliot Orthopaedic Surgery Specialists
Manchester, NH 03101-7100 - City
- Manchester
- State
- NH
- Zip
- 03101-7100
- Phone Number
- 603-625-1655
- Fax Number
- 603-626-4686
License Information
- License Number (1)
- 33787
- License State (1)
- AZ
- Taxonomy (1)
- Orthopaedic Surgery, Sports Medicine · 207XX0005X
- License Number (2)
- 50942
- License State (2)
- WI
- Taxonomy (2)
- Orthopaedic Surgery, Sports Medicine · 207XX0005X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jonathan E Mack, MD?
The NPI number of Dr. Jonathan E Mack, MD is 1275522625. It was assigned on October 18, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Jonathan E Mack, MD?
Dr. Jonathan E Mack, MD is registered under the primary taxonomy Orthopaedic Surgery, Sports Medicine (code 207XX0005X), licensed in AZ under license number 33787.
Where does Dr. Jonathan E Mack, MD practice?
The practice location is 185 Queen City Ave, Elliot Orthopaedic Surgery Specialists, Manchester, NH 03101-7100. The office can be reached at 603-625-1655 (phone) or 603-626-4686 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275522625 directly on the NPPES registry website.