Mackay, John S

Mackay, John S is an individual health care provider with primary practice located at 7204 E Sprague Ave , Spokane Valley WA 99212-0631. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Mackay, John S can be contacted via phone (509) 928-9337.

Contact Information

Primary practice address
7204 E Sprague Ave Spokane Valley WA 99212-0631
Fax: (509) 928-9395
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DN00000127 Washington

Profile Details

NPI number 1225253941
LBN Legal business name Mackay, John S
Credentials Doctor of Nursing (DN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Jul 9th, 2007 - about 17 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 1225253941 NPPES
Washington MEDICAID 5022512

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