Mackinder, Robert Charles

Mackinder, Robert Charles is an individual health care provider with primary practice located at 7128 Fulton St E , Ada MI 49301-8413. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mackinder, Robert Charles can be contacted via phone (616) 825-3530.

Contact Information

Primary practice address
7128 Fulton St E Ada MI 49301-8413
Phone: (616) 825-3530
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301063583 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301063583 Michigan

Profile Details

NPI number 1124022660
LBN Legal business name Mackinder, Robert Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Mar 26th, 2021 - about 5 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 1124022660 NPPES
Michigan MEDICAID 4199731

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