Mackey, Rosewell Valentino
Mackey, Rosewell Valentino is an sole proprietor health care provider with primary practice located at 800 E Carpenter Street , Peoria IL 61637-1853. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Mackey, Rosewell Valentino can be contacted via phone (217) 544-6464.Contact Information
Primary practice address
800 E Carpenter Street
Peoria IL 61637-1853
Phone: (217) 544-6464
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 125066112 | Illinois |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 036148230 | Illinois |
Profile Details
NPI number | 1407246663 |
---|---|
LBN Legal business name | Mackey, Rosewell Valentino |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 27th, 2015 |
Last updated | Nov 27th, 2023 - about last year |
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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