Mackrell, James P
Mackrell, James P is an individual health care provider with primary practice located at 330 N Wabash Ave Ste 110 , Marion IN 46952-2677. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mackrell, James P can be contacted via phone (765) 664-1201.Contact Information
Primary practice address
330 N Wabash Ave Ste 110
Marion IN 46952-2677
Phone: (765) 664-1201
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 01065861A | Indiana |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01065861A | Indiana |
Profile Details
NPI number | 1295713949 |
---|---|
LBN Legal business name | Mackrell, James P |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 4th, 2006 |
Last updated | Jul 19th, 2022 - about 2 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 | 1295713949 | NPPES |
Indiana | MEDICAID | 200914650 |
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