Mackinnon, Cory Devin

Mackinnon, Cory Devin is an individual health care provider with primary practice located at 490 N Grape St , Escondido CA 92025-3079. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Mackinnon, Cory Devin can be contacted via phone (760) 975-9939.

Contact Information

Primary practice address
490 N Grape St Escondido CA 92025-3079
Phone: (760) 975-9939
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1386123370
LBN Legal business name Mackinnon, Cory Devin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2018
Last updated Aug 9th, 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.

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