Mackey, Charles Joseph

Mackey, Charles Joseph is an individual health care provider with primary practice located at Madera Hospital Family Health Services 1210 E. Almond Ave, Madera CA 93637. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mackey, Charles Joseph can be contacted via phone (559) 675-5530.

Contact Information

Primary practice address
Madera Hospital Family Health Services 1210 E. Almond Ave Madera CA 93637
Phone: (559) 675-5530
Fax: (559) 675-5532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 12957 California

Profile Details

NPI number 1770789927
LBN Legal business name Mackey, Charles Joseph
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Mar 18th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770789927 NPPES
California Other PA 12957 STATE LICENSE

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