Mackie, Andrea Marie

Mackie, Andrea Marie is an individual health care provider with primary practice located at 1800 Camelot Dr Suite 300, Virginia Beach VA 23454-2440. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is her primary health care specialty. Mackie, Andrea Marie can be contacted via phone (757) 321-4284.

Contact Information

Primary practice address
1800 Camelot Dr Suite 300 Virginia Beach VA 23454-2440
Phone: (757) 321-4284
Fax: (757) 321-4287
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 102984 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 0119004275 Virginia

Profile Details

NPI number 1013024199
LBN Legal business name Mackie, Andrea Marie
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Sep 2nd, 2009 - about 15 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 1013024199 NPPES
Virginia Other C05501 MEDICARE GROUP

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