Mackey, Michele Grace

Mackey, Michele Grace is an sole proprietor health care provider with primary practice located at 849 Taylor Ave , East Patchogue NY 11772-5057. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mackey, Michele Grace can be contacted via phone (631) 475-3206.

Contact Information

Primary practice address
849 Taylor Ave East Patchogue NY 11772-5057
Phone: (631) 475-3206
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 278210 New York

Profile Details

NPI number 1114194974
LBN Legal business name Mackey, Michele Grace
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2008
Last updated May 12th, 2008 - about 16 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 1114194974 NPPES
New York Other 278210 NYS LICENSED PRACTICAL NURSING LICENSE

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