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Contact Information

ELISCHA MACKEY, RN
260 30TH ST UNIT 107
OAKLAND, CA94611-5970
 Phone: 310-341-8012
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Administrator

163WA2000X
 

Orthopedic

163WX0800X
Indicates primary specialty

NPI Profile & details for ELISCHA MACKEY · (Female)

NPI Number 1376268417
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 10/11/2022
Last updated 10/11/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 451313
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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