Mackiewicz, Henry
Mackiewicz, Henry is an individual health care provider with primary practice located at 2100 Dorchester Ave , Dorchester MA 02124-5615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mackiewicz, Henry can be contacted via phone (617) 298-4632.Contact Information
Primary practice address
2100 Dorchester Ave
Dorchester MA 02124-5615
Phone: (617) 298-4632
Fax: (617) 296-6919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 216399 | Massachusetts |
Profile Details
| NPI number | 1386608974 |
|---|---|
| LBN Legal business name | Mackiewicz, Henry |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Dec 14th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386608974 | NPPES |
| Massachusetts | MEDICAID | 2012821 |
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