Mackey, Jason Scott
Mackey, Jason Scott is an sole proprietor health care provider with primary practice located at 1801 N Senate Blvd Suite 510, Indianapolis IN 46202-1228. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Vascular Neurology is his primary health care specialty. Mackey, Jason Scott can be contacted via phone (317) 948-5450.Contact Information
Primary practice address
1801 N Senate Blvd Suite 510
Indianapolis IN 46202-1228
Phone: (317) 948-5450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 42691 | Kentucky |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 93344 | Ohio |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01070034A | Indiana |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 01070034A | Indiana |
Profile Details
| NPI number | 1629282165 |
|---|---|
| LBN Legal business name | Mackey, Jason Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2007 |
| Last updated | Mar 14th, 2025 - about last year |
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 | 1629282165 | NPPES |
| Indiana | Other | 000000733423 | ANTHEM PIN |
| Indiana | MEDICAID | 200987840 | ANTHEM PIN |
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