Macke, Michael Richard

Macke, Michael Richard is an individual health care provider with primary practice located at 1948 1St Avenue Ne , Cedar Rapids IA 52402-5321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Macke, Michael Richard can be contacted via phone (319) 364-0121.

Contact Information

Primary practice address
1948 1St Avenue Ne Cedar Rapids IA 52402-5321
Fax: (319) 364-5684
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 37225 Iowa

Profile Details

NPI number 1518186980
LBN Legal business name Macke, Michael Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Nov 6th, 2015 - about 9 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 1518186980 NPPES
Iowa MEDICAID 1518186980
Iowa Other 72198

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