Mackie, Robert W

Mackie, Robert W is an individual health care provider with primary practice located at 1160 E 3900 S Ste 2000, Salt Lake City UT 84124-1202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mackie, Robert W can be contacted via phone (801) 266-3418.

Contact Information

Primary practice address
1160 E 3900 S Ste 2000 Salt Lake City UT 84124-1202
Phone: (801) 266-3418
Fax: (801) 288-4444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 159430-1205 Utah

Profile Details

NPI number 1972595833
LBN Legal business name Mackie, Robert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Oct 30th, 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 1972595833 NPPES
Utah MEDICAID 05365

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