Mackel, Susan Elizabeth

Mackel, Susan Elizabeth is an individual health care provider with primary practice located at 895 Middle Ground Blvd. Suite 302, Newport News VA 23606-4250. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Mackel, Susan Elizabeth can be contacted via phone (757) 873-0161.

Contact Information

Primary practice address
895 Middle Ground Blvd. Suite 302 Newport News VA 23606-4250
Phone: (757) 873-0161
Fax: (757) 873-0205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0101032520 Virginia

Profile Details

NPI number 1306949581
LBN Legal business name Mackel, Susan Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Sep 30th, 2010 - about 14 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 1306949581 NPPES
Virginia MEDICAID 5963303

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