Mackey, Timothy Wayne

Mackey, Timothy Wayne is an individual health care provider with primary practice located at Uss Abraham Lincoln Cvn 72, Fpo AP 96649. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Other Service Providers / Independent Duty Corpsman. Other Service Providers / Independent Duty Corpsman is his primary health care specialty. Mackey, Timothy Wayne can be contacted via phone (912) 275-4040.

Contact Information

Primary practice address
Uss Abraham Lincoln Cvn 72 Fpo AP 96649
Phone: (912) 275-4040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Other Service Providers / Independent Duty Corpsman 1710I1002X 1366162059

Profile Details

NPI number 1366162059
LBN Legal business name Mackey, Timothy Wayne
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2022
Last updated Mar 6th, 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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