Alexis, Mackie K.

Alexis, Mackie K. is an sole proprietor health care provider with primary practice located at 29 Gould St , West Roxbury MA 02132-5024. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Physician Assistants & Advanced Practice Nursing Providers / Family. Nursing Service Related Providers / Chore Provider is her primary health care specialty. Alexis, Mackie K. can be contacted via phone (617) 596-7201.

Contact Information

Primary practice address
29 Gould St West Roxbury MA 02132-5024
Phone: (617) 596-7201
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X 251788 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN251788 Massachusetts

Profile Details

NPI number 1528330701
LBN Legal business name Alexis, Mackie K.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2012
Last updated Mar 21st, 2014 - about 12 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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