Mackin, Robert A

Mackin, Robert A is an sole proprietor health care provider with primary practice located at 823 North Beaver Street , Flagstaff AZ 86001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mackin, Robert A can be contacted via phone (928) 773-1638.

Contact Information

Primary practice address
823 North Beaver Street Flagstaff AZ 86001
Phone: (928) 773-1638
Fax: (928) 773-9022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 17570 Arizona

Profile Details

NPI number 1447334784
LBN Legal business name Mackin, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Aug 17th, 2016 - about 10 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 1447334784 NPPES
Arizona MEDICAID 277451
Arizona Other AZ0257580

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