Mackman, Jay L

Mackman, Jay L is an individual health care provider with primary practice located at 2626 N 76Th St , Wauwatosa WI 53213. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Mackman, Jay L can be contacted via phone (414) 476-9400.

Contact Information

Primary practice address
2626 N 76Th St Wauwatosa WI 53213
Phone: (414) 476-9400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 2793-015 Wisconsin

Profile Details

NPI number 1821194184
LBN Legal business name Mackman, Jay L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 8th, 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.

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