Mackinnon, Jill Dougal

Mackinnon, Jill Dougal is an sole proprietor health care provider with primary practice located at 2001 Dwight Way 2Nd Floor - Room # 2350, Berkeley CA 94704-2608. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as her primary health care specialty. Mackinnon, Jill Dougal can be contacted via phone (510) 204-4738.

Contact Information

Primary practice address
2001 Dwight Way 2Nd Floor - Room # 2350 Berkeley CA 94704-2608
Phone: (510) 204-4738
Fax: (510) 204-5892
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X G67976 California

Profile Details

NPI number 1134201627
LBN Legal business name Mackinnon, Jill Dougal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated Jul 9th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134201627 NPPES
California Other 00G679760 MEDI-CAL

Popular Providers