Mackey, Richard A

Mackey, Richard A is an individual health care provider with primary practice located at 7505 Osler Dr Suite 503, Towson MD 21204-7736. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Mackey, Richard A can be contacted via phone (410) 427-2024.

Contact Information

Primary practice address
7505 Osler Dr Suite 503 Towson MD 21204-7736
Fax: (410) 427-2291
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35087599 Ohio
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X D0066058 Maryland

Profile Details

NPI number 1336244839
LBN Legal business name Mackey, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Sep 11th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336244839 NPPES
Ohio MEDICAID 2662819

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