Mackey, Charles Edward

Mackey, Charles Edward is an individual health care provider with primary practice located at 5050 Powderhouse Rd , Cheyenne WY 82009-4800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mackey, Charles Edward can be contacted via phone (307) 634-1311.

Contact Information

Primary practice address
5050 Powderhouse Rd Cheyenne WY 82009-4800
Fax: (307) 634-1271
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5007A Wyoming

Profile Details

NPI number 1710960786
LBN Legal business name Mackey, Charles Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Feb 24th, 2015 - about 10 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 1710960786 NPPES
Wyoming MEDICAID 101121900

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