Macken, Patrick D
Macken, Patrick D is an sole proprietor health care provider with primary practice located at 1425 Elderberry Ln , Eau Claire WI 54701-9425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Macken, Patrick D can be contacted via phone (715) 832-9801.Contact Information
Primary practice address
1425 Elderberry Ln
Eau Claire WI 54701-9425
Phone: (715) 832-9801
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 20307 | Wisconsin |
Profile Details
| NPI number | 1003872417 |
|---|---|
| LBN Legal business name | Macken, Patrick D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Jan 9th, 2013 - 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 | 1003872417 | NPPES |
| Wisconsin | MEDICAID | 31073900 |
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