Macke, Dawn

Macke, Dawn is an individual health care provider with primary practice located at 1025 Fair Rd , Sidney OH 45365-8947. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Macke, Dawn can be contacted via phone (937) 492-1352.

Contact Information

Primary practice address
1025 Fair Rd Sidney OH 45365-8947
Fax: (937) 492-1353
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18370-NP Ohio

Profile Details

NPI number 1336512672
LBN Legal business name Macke, Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2015
Last updated Oct 14th, 2022 - about 3 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 1336512672 NPPES
Ohio MEDICAID 0149766

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