Macha, Deepa S

Macha, Deepa S is an individual health care provider with primary practice located at 205 N East Ave , Jackson MI 49201-1753. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Macha, Deepa S can be contacted via phone (517) 788-4996.

Contact Information

Primary practice address
205 N East Ave Jackson MI 49201-1753
Phone: (517) 788-4996
Fax: (517) 796-6410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD059163L Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301091124 Michigan

Profile Details

NPI number 1134121684
LBN Legal business name Macha, Deepa S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jan 23rd, 2008 - about 18 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 1134121684 NPPES
Pennsylvania MEDICAID 01592292

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