Mackenrodt, Robert

Mackenrodt, Robert is an sole proprietor health care provider with primary practice located at 125 Hartwell Ave , Lexington MA 02421-3100. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Mackenrodt, Robert can be contacted via phone (781) 861-0890.

Contact Information

Primary practice address
125 Hartwell Ave Lexington MA 02421-3100
Phone: (781) 861-0890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1598449423
LBN Legal business name Mackenrodt, Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2023
Last updated Jun 12th, 2023 - about last year

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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