Mackinnon, Susan E
Mackinnon, Susan E is an individual health care provider with primary practice located at 4921 Parkview Pl Div Surg Plastics, Ste 6G, Saint Louis MO 63110-1032. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is her primary health care specialty. Mackinnon, Susan E can be contacted via phone (314) 362-7388.Contact Information
Primary practice address
4921 Parkview Pl Div Surg Plastics, Ste 6G
Saint Louis MO 63110-1032
Phone: (314) 362-7388
Fax: (833) 301-0853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 102027 | Missouri |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 102027 | Missouri |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 102027 | Missouri |
Profile Details
| NPI number | 1811913130 |
|---|---|
| LBN Legal business name | Mackinnon, Susan E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Apr 25th, 2024 - about last year |
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 | 1811913130 | NPPES |
| Missouri | MEDICAID | 203098306 |
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