Mackner, Jeffrey Lee

Mackner, Jeffrey Lee is an individual health care provider with primary practice located at 20 South Broadway , Pelican Rapids MN 56572. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mackner, Jeffrey Lee can be contacted via phone (218) 863-7061.

Contact Information

Primary practice address
20 South Broadway Pelican Rapids MN 56572
Phone: (218) 863-7061
Fax: (218) 863-7062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2365 Minnesota

Profile Details

NPI number 1598789893
LBN Legal business name Mackner, Jeffrey Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jan 11th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598789893 NPPES
Minnesota MEDICAID 541525000

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