MACKINLEY S BURRELL, CP, Prosthetist ANTHEM, AZ

Contact Information

MACKINLEY S BURRELL, CP

42212 N 41ST DR STE 105
ANTHEM, AZ 85086-3815

Phone: 623-352-4520
Fax: 833-680-2415
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Prosthetist	224P00000X	56	Individual Certified Prosthetist

Indicates primary specialty

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NPI Profile & details for MACKINLEY S BURRELL · (Male)

NPI Number	`1376217141`
Status	Active
Credentials	CP
Entity	Individual
Enumeration date	08/05/2021
Last updated	09/26/2023 - About 3 years ago
Sole proprietor ¹	Yes
Identifiers	CA License # CP004467
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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MACKINLEY S BURRELL, CP – NPI #1376217141Prosthetist

Contact Information

Specialty

Prosthetist

NPI Profile & details for MACKINLEY S BURRELL · (Male)

Reviews for MACKINLEY S BURRELL

MACKINLEY S BURRELL, CP – NPI #1376217141
Prosthetist