Mackinnon, John Ross

Mackinnon, John Ross is an sole proprietor health care provider with primary practice located at 567 Vauxhall Street Ext Ste 323 , Waterford CT 06385-4341. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Mackinnon, John Ross can be contacted via phone (860) 447-9274.

Contact Information

Primary practice address
567 Vauxhall Street Ext Ste 323 Waterford CT 06385-4341
Fax: (860) 447-9900
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 000771 Connecticut

Profile Details

NPI number 1972689065
LBN Legal business name Mackinnon, John Ross
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2006
Last updated Jul 8th, 2007 - about 18 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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