Mackerrow, Stephen
Mackerrow, Stephen is an individual health care provider with primary practice located at 407 S Schwartz Ave Ste 202 , Farmington NM 87401-5925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Mackerrow, Stephen can be contacted via phone (505) 609-6770.Contact Information
Primary practice address
407 S Schwartz Ave Ste 202
Farmington NM 87401-5925
Phone: (505) 609-6770
Fax: (505) 609-6775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 87-365 | New Mexico |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 31635 | Colorado |
Profile Details
| NPI number | 1225075526 |
|---|---|
| LBN Legal business name | Mackerrow, Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Nov 27th, 2023 - 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 | 1225075526 | NPPES |
| Colorado | MEDICAID | 01316355 | |
| Colorado | Other | P00986966 |
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