Mackie, Christine M
Mackie, Christine M is an sole proprietor health care provider with primary practice located at 4304 Del Prado Blvd S , Cape Coral FL 33904-7169. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mackie, Christine M can be contacted via phone (239) 540-0800.Contact Information
Primary practice address
4304 Del Prado Blvd S
Cape Coral FL 33904-7169
Phone: (239) 540-0800
Fax: (239) 540-0806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME94225 | Florida |
Profile Details
| NPI number | 1437140126 |
|---|---|
| LBN Legal business name | Mackie, Christine M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Oct 29th, 2020 - about 6 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 | 1437140126 | NPPES |
| Florida | Other | 29322 | BC/BS |
| Florida | Other | P00379350 | BC/BS |
| Florida | MEDICAID | 273771000 | BC/BS |
| Florida | Other | CC4198 | BC/BS |
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