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Contact Information

ALICE MACKEY LLC
1126 S 70TH ST SUITE 121
WEST ALLIS, WI53214
 Phone: 414-409-3546
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for ALICE MACKEY LLC

NPI Number 1528586138
LBN Legal business name ALICE MACKEY LLC
Authorized official ALICE MACKEY - (OWNER/PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/04/2017
Last updated 11/01/2017 - About 9 years ago
Identifiers
WI Medicaid 39732700
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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