Mackey, Jackie A

Mackey, Jackie A is an individual health care provider with primary practice located at Exit 102 Off I - 40 1/2 Mi South , San Fidel NM 87049-0130. She recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Intermediate, which is considered as her primary health care specialty. Mackey, Jackie A can be contacted via phone (505) 552-5385.

Contact Information

Primary practice address
Exit 102 Off I - 40 1/2 Mi South San Fidel NM 87049-0130
Phone: (505) 552-5385
Fax: (505) 552-5473
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Intermediate 146M00000X 03000684 New Mexico

Profile Details

NPI number 1154592517
LBN Legal business name Mackey, Jackie A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2008
Last updated Mar 13th, 2008 - about 17 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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