Macklin, Stephanie Suzanne

Macklin, Stephanie Suzanne is an individual health care provider with primary practice located at 1101 4Th Ave , Canyon TX 79015-3701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Macklin, Stephanie Suzanne can be contacted via phone (806) 655-7155.

Contact Information

Primary practice address
1101 4Th Ave Canyon TX 79015-3701
Phone: (806) 655-7155
Fax: (806) 655-7145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 769409 Texas

Profile Details

NPI number 1730454240
LBN Legal business name Macklin, Stephanie Suzanne
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2012
Last updated Jan 12th, 2015 - about 11 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 1730454240 NPPES
Texas Other 873N94 BCBS TEXAS

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