Macqueen, Marjorie M
Macqueen, Marjorie M is an individual health care provider with primary practice located at 2450 Ashby Avenue , Berkeley CA 94705-2067. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Macqueen, Marjorie M can be contacted via phone (510) 204-4444.Contact Information
Primary practice address
2450 Ashby Avenue
Berkeley CA 94705-2067
Phone: (510) 204-4444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | PA17161 | California |
Profile Details
| NPI number | 1215995576 |
|---|---|
| LBN Legal business name | Macqueen, Marjorie M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Apr 15th, 2009 - about 15 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 | 1215995576 | NPPES |
| California | MEDICAID | PA17161 | |
| California | MEDICAID | 1215995576 |
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