Mackey, Jacqueline Bassett
Mackey, Jacqueline Bassett is an sole proprietor health care provider with primary practice located at 100 Medical Campus Dr , Lansdale PA 19446-1259. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Mackey, Jacqueline Bassett can be contacted via phone (215) 361-4854.Contact Information
Primary practice address
100 Medical Campus Dr
Lansdale PA 19446-1259
Phone: (215) 361-4854
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD437368 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD437368 | Pennsylvania |
Profile Details
| NPI number | 1861641029 |
|---|---|
| LBN Legal business name | Mackey, Jacqueline Bassett |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2008 |
| Last updated | Mar 17th, 2018 - about 8 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 | 1861641029 | NPPES |
| Pennsylvania | MEDICAID | 102450884 | |
| Pennsylvania | Other | MA2150853 |
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