Mackall, Judith A

Mackall, Judith A is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is her primary health care specialty. Mackall, Judith A can be contacted via phone (216) 844-8500.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 844-8500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 35-063166 Ohio
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35-063166 Ohio

Profile Details

NPI number 1821018540
LBN Legal business name Mackall, Judith A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 30th, 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 1821018540 NPPES
Ohio Other 0649352 AETNA
Ohio Other P00449266 AETNA
Ohio Other 000000224301 AETNA
Ohio Other 000000539430 AETNA
Ohio MEDICAID 0922363 AETNA
Ohio Other 741775 AETNA
Ohio Other 110107308 AETNA
Ohio Other 363793 AETNA

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