Mackavich, Soundra D
Mackavich, Soundra D is an sole proprietor health care provider with primary practice located at 44405 Woodward Ave , Pontiac MI 48341-5023. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mackavich, Soundra D can be contacted via phone (248) 858-6591.Contact Information
Primary practice address
44405 Woodward Ave
Pontiac MI 48341-5023
Phone: (248) 858-6591
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2488088 | Michigan |
Profile Details
| NPI number | 1578891792 |
|---|---|
| LBN Legal business name | Mackavich, Soundra D |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2009 |
| Last updated | Nov 29th, 2009 - about 15 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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