Mackey, Jeffrey C

Mackey, Jeffrey C is an individual health care provider with primary practice located at 3205 E Washington Ave , Madison WI 53704-4332. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Mackey, Jeffrey C can be contacted via phone (608) 249-7657.

Contact Information

Primary practice address
3205 E Washington Ave Madison WI 53704-4332
Phone: (608) 249-7657
Fax: (608) 249-7728
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 1576 Wisconsin

Profile Details

NPI number 1316939119
LBN Legal business name Mackey, Jeffrey C
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Nov 8th, 2012 - about 12 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 1316939119 NPPES
Wisconsin MEDICAID 38764300

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