Individual
DR. THOMAS C MACK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
116 W SMITH ST, CORRY, PA 16407-1558
(814) 665-1032
(814) 665-2225
Mailing address
116 W SMITH ST, CORRY, PA 16407-1558
(814) 665-1032
(814) 665-2225
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
DC003097L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155842
HEALTH AMERICA
PA
01
—
456615
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
01/23/2006
Last updated
07/08/2007
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