Macy, Roger

Macy, Roger is an individual health care provider with primary practice located at 2024 S 6Th St , Brainerd MN 56401-4529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Macy, Roger can be contacted via phone (218) 828-7100.

Contact Information

Primary practice address
2024 S 6Th St Brainerd MN 56401-4529
Phone: (218) 828-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32187 Minnesota

Profile Details

NPI number 1689658635
LBN Legal business name Macy, Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Jan 8th, 2016 - about 10 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 1689658635 NPPES
Minnesota MEDICAID 055873700

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