National Provider Identifier Database

MACKINLEY S BURRELL, CP – NPI #1376217141
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

MACKINLEY S BURRELL, CP
42212 N 41ST DR STE 105
ANTHEM, AZ85086-3815
Phone: 623-352-4520
Fax: 833-680-2415
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for MACKINLEY S BURRELL

NPI Number 1376217141
Credentials CP
Entity Individual
Enumeration date 08/05/2021
Last updated 09/26/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: CP004467
Hospital affiliation n/a

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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