Mackey-Bojack, Shannon Marie

Mackey-Bojack, Shannon Marie is an sole proprietor health care provider with primary practice located at 333 Smith Ave N Room 4625, Saint Paul MN 55102-2344. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Mackey-Bojack, Shannon Marie can be contacted via phone (651) 241-5568.

Contact Information

Primary practice address
333 Smith Ave N Room 4625 Saint Paul MN 55102-2344
Phone: (651) 241-5568
Fax: (651) 241-7114
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 43421 Minnesota

Profile Details

NPI number 1194745174
LBN Legal business name Mackey-Bojack, Shannon Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Feb 27th, 2015 - about 11 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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