Mackey, Renee Lenore

Mackey, Renee Lenore is an individual health care provider with primary practice located at 2950 W Market St , Fairlawn OH 44333-3614. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Mackey, Renee Lenore can be contacted via phone (330) 864-8501.

Contact Information

Primary practice address
2950 W Market St Fairlawn OH 44333-3614
Phone: (330) 864-8501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36.003579 Ohio

Profile Details

NPI number 1013158658
LBN Legal business name Mackey, Renee Lenore
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2009
Last updated Aug 20th, 2020 - about 5 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 1013158658 NPPES
Ohio Other 000000718318 ANTHEM
Ohio MEDICAID 0052496 ANTHEM
Ohio Other 30-0506709 ANTHEM
Ohio Other 9047186 ANTHEM
Ohio Other 1013158658 ANTHEM
Ohio Other 30-0506709 ANTHEM
Ohio Other P00980802 ANTHEM
Ohio Other 2286732 ANTHEM
Ohio Other 8848863 ANTHEM
Ohio Other 9486718 ANTHEM
Ohio Other 30-0506709 ANTHEM

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