Mackman, Gary
Mackman, Gary is an sole proprietor health care provider with primary practice located at 1130 E Missouri Ave Ste 100, Phoenix AZ 85014-2718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mackman, Gary can be contacted via phone (602) 995-1166.Contact Information
Primary practice address
1130 E Missouri Ave Ste 100
Phoenix AZ 85014-2718
Phone: (602) 995-1166
Fax: (602) 995-2390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 12411 | Arizona |
Profile Details
| NPI number | 1326044108 |
|---|---|
| LBN Legal business name | Mackman, Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2005 |
| Last updated | Oct 9th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326044108 | NPPES |
| Arizona | Other | 860220938 | TAX ID |
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