Macknis, Jacqueline K
Macknis, Jacqueline K is an individual health care provider with primary practice located at 3601 W 13 Mile Rd , Royal Oak MI 48073-6769. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Macknis, Jacqueline K can be contacted via phone (248) 423-3144.Contact Information
Primary practice address
3601 W 13 Mile Rd
Royal Oak MI 48073-6769
Phone: (248) 423-3144
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 4301067705 | Michigan |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 4301067705 | Michigan |
Profile Details
| NPI number | 1336109438 |
|---|---|
| LBN Legal business name | Macknis, Jacqueline K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jun 15th, 2011 - 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 | 1336109438 | NPPES |
| Michigan | Other | 220F349850 | BCBSM |
| Michigan | MEDICAID | 4634690 | BCBSM |
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