Mackey, Winona R

Mackey, Winona R is an individual health care provider with primary practice located at 104 Nw 31St St , Lawton OK 73505-6100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Mackey, Winona R can be contacted via phone (580) 536-2121.

Contact Information

Primary practice address
104 Nw 31St St Lawton OK 73505-6100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 19328 Oklahoma
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 18667 Oklahoma

Profile Details

NPI number 1952499592
LBN Legal business name Mackey, Winona R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Feb 8th, 2012 - about 12 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 1952499592 NPPES
Oklahoma MEDICAID 200211660A

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