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
Phone: (860) 447-9274
Fax: (860) 447-9900
Website:
Health care specialties
Specialty | Code | License # | 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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