Doyle, Shevaun Mackie

Doyle, Shevaun Mackie is an sole proprietor health care provider with primary practice located at 535 E 70Th St , New York NY 10021-4823. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is her primary health care specialty. Doyle, Shevaun Mackie can be contacted via phone (646) 797-8816.

Contact Information

Primary practice address
535 E 70Th St New York NY 10021-4823
Fax: (646) 797-8836
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 193454 New York
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 193454 New York

Profile Details

NPI number 1003820630
LBN Legal business name Doyle, Shevaun Mackie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Dec 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003820630 NPPES
New York MEDICAID 01824033

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