Mackey, Michael G

Mackey, Michael G is an individual health care provider with primary practice located at 4802 E Johnson Ave , Jonesboro AR 72401-8413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mackey, Michael G can be contacted via phone (870) 936-8000.

Contact Information

Primary practice address
4802 E Johnson Ave Jonesboro AR 72401-8413
Fax: (870) 934-3640
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X C-4731 Arkansas

Profile Details

NPI number 1437127800
LBN Legal business name Mackey, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Aug 17th, 2017 - about 8 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 1437127800 NPPES
Arkansas MEDICAID 104100001

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