Mackan, Emmett R.

Mackan, Emmett R. is an sole proprietor health care provider with primary practice located at 755 N 11Th St Ste P3950 , Beaumont TX 77702-1527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mackan, Emmett R. can be contacted via phone (409) 892-0099.

Contact Information

Primary practice address
755 N 11Th St Ste P3950 Beaumont TX 77702-1527
Phone: (409) 892-0099
Fax: (409) 892-1911
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X H2553 Texas

Profile Details

NPI number 1326042722
LBN Legal business name Mackan, Emmett R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated Mar 17th, 2018 - about 6 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 1326042722 NPPES
Texas MEDICAID 127855801
Texas Other 4365640
Texas Other 2847607001
Texas Other 82X590

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