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:
Health care specialties
| Specialty | Code | License # | 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 9 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 | 1447334784 | NPPES |
| Arizona | MEDICAID | 277451 | |
| Arizona | Other | AZ0257580 |
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