Mackinnon, Jake Matthew

Mackinnon, Jake Matthew is an individual health care provider with primary practice located at 350 Crag Rd , Panama City Beach FL 32407-7013. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Mackinnon, Jake Matthew can be contacted via phone (760) 277-3999.

Contact Information

Primary practice address
350 Crag Rd Panama City Beach FL 32407-7013
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X North Carolina

Profile Details

NPI number 1831833953
LBN Legal business name Mackinnon, Jake Matthew
Credentials SOIDC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2022
Last updated Apr 25th, 2022 - about 2 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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