Macqueen, Marjorie M

Macqueen, Marjorie M is an individual health care provider with primary practice located at 2450 Ashby Avenue , Berkeley CA 94705-2067. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Macqueen, Marjorie M can be contacted via phone (510) 204-4444.

Contact Information

Primary practice address
2450 Ashby Avenue Berkeley CA 94705-2067
Phone: (510) 204-4444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X PA17161 California

Profile Details

NPI number 1215995576
LBN Legal business name Macqueen, Marjorie M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Apr 15th, 2009 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215995576 NPPES
California MEDICAID PA17161
California MEDICAID 1215995576

Popular Providers